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

McKenna Marie Wagner, PT, DPT

Individual provider Physical Therapist · NPI 1558188805

McKenna Marie Wagner, PT, DPT is a Physical Therapist in Private Practice in Little Rock, Arkansas. Qualified in 2024, 2 years ago. Licensed in Arkansas.

Years since qualifying
2
Licensed in
AR
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1500 N Mississippi St
Little Rock, AR 72207-5851
Phone: (501) 217-8600
Fax: (501) 217-8636
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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 PT5555 (AR)

Record details

NPI number1558188805
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 26, 2024
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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