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

Mrs. Melissa S Payne Wagner, PT

Individual provider Physical Therapist · NPI 1811972805

Mrs. Melissa S Payne Wagner, PT is a Physical Therapist in Private Practice in Dekalb, Illinois. Qualified in 2001, 25 years ago. Practices with Northern Rehabilitation and Sports Medicine Associates, Inc, a 12-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
25
Licensed in
IL
In the registry since
2005
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

3266 Sycamore Rd
Dekalb, IL 60115-9621
Phone: (815) 756-8524
Fax: (815) 756-1841
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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 070013020 (IL)

Record details

NPI number1811972805
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 13, 2005
Last updated in NPPESApril 26, 2017

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 Northern Rehabilitation And Sports Medicine Associates, Inc. — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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