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

Mr. Scott Wagner, MSPT

Individual provider Orthopedic Physical Therapist · NPI 1053433128

Mr. Scott Wagner, MSPT is a Physical Therapist in Private Practice in McLean, Virginia. Qualified in 2000, 26 years ago. Practices with Pro Motion Physical Therapy, LLC, a 7-clinician group. Licensed in Virginia.

Years since qualifying
26
Licensed in
VA
In the registry since
2007

Practice location Address checks out

6849 Old Dominion Dr
McLean, VA 22101-3724
Phone: (703) 848-9333
Show map & directions

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

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 2305202514 (VA)

Record details

NPI number1053433128
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedApril 6, 2007
Last updated in NPPESJuly 8, 2007
Mailing address516 Greenwich St, Falls Church, VA 22046-2501

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Pro Motion Physical Therapy, Llc — 7 clinicians
Accepts Medicare assignment Not indicated

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