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

Mrs. Genevieve Amanda Wagner, DPT

Individual provider Physical Therapist · NPI 1083050728

Mrs. Genevieve Amanda Wagner, DPT is a Physical Therapist in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

800 E Carpenter St
Springfield, IL 62769-1000
Phone: (217) 544-6464
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070017303 (IL)

Record details

NPI number1083050728
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 21, 2013
Last updated in NPPESMay 21, 2013

Other providers in Springfield