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

Mr. Justin Roman Wagner, PT

Individual provider Specialist · NPI 1669451472

Mr. Justin Roman Wagner, PT is a Physical Therapist in Private Practice in Cedar Rapids, Iowa. Qualified in 2001, 25 years ago. Practices with Match Play Tennis Centers Inc, a 13-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
25
Licensed in
IA
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

Rec Center Physical Therapy 400 Collins Rd NE 154-100
Cedar Rapids, IA 52498-0001
Phone: (319) 295-8899
Fax: (319) 295-8833
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 03670 (IA)

Record details

NPI number1669451472
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 10, 2006
Last updated in NPPESOctober 2, 2013

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Match Play Tennis Centers Inc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Cedar Rapids