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

Mrs. Kimberly Thomas Wagner, PT

Individual provider Physical Therapist · NPI 1518003995

Mrs. Kimberly Thomas Wagner, PT is a Physical Therapist in Private Practice in Port St Joe, Florida. Qualified in 1998, 28 years ago. Practices with Pro Vita Physical Therapy LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
28
Licensed in
FL
In the registry since
2007
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

3801 E Highway 98
Port St Joe, FL 32456-5318
Phone: (850) 229-5752
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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 PT17258 (FL)

Record details

NPI number1518003995
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 30, 2007
Last updated in NPPESJanuary 25, 2012

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Pro Vita Physical Therapy Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port St Joe