Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kyle J Wagner, DPT

Individual provider Physical Therapist · NPI 1386078731

Kyle J Wagner, DPT is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2013, 13 years ago. Practices with Progress Physical Therapy LLC, a 428-clinician group and accepts Medicare assignment. Licensed in Illinois and Pennsylvania.

Years since qualifying
13
Licensed in
IL, PA
In the registry since
2013
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1323 W Diversey Pkwy
Chicago, IL 60614-1207
Phone: (773) 549-2520
Fax: (773) 549-2743
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070022159 (IL)
Physical Therapist Taxonomy 225100000X · Licence PT022891 (PA)

Record details

NPI number1386078731
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 21, 2013
Last updated in NPPESJune 6, 2016
Mailing address625 Enterprise Dr, Oak Brook, IL 60523-8813

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Progress Physical Therapy Llc — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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