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

Mr. Scott Wagner, PT

Individual provider Physical Therapist · NPI 1982648051

Mr. Scott Wagner, PT is a Physical Therapist in Private Practice in Saint Louis Park, Minnesota. Qualified in 1989, 37 years ago. Practices with Life Medical PA, an 8-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
37
Licensed in
MN
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3015 Utah Ave S Ste 200
Saint Louis Park, MN 55426-3671
Phone: (952) 933-1121
Fax: (952) 945-9635
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4604 (MN)

Record details

NPI number1982648051
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 16, 2006
Last updated in NPPESJuly 13, 2026
Mailing address3015 Utah Ave S, Suite 200, Saint Louis Park, MN 55426-3671

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Life Medical Pa — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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