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

Nathaniel Wagner

Individual provider Physical Therapist · NPI 1083503890

Nathaniel Wagner is a Physical Therapist in Private Practice in Cincinnati, Ohio. Qualified in 2025, 1 year ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
1
Licensed in
OH
In the registry since
2025
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Practice location Address checks out

5132 Delhi Rd
Cincinnati, OH 45238-5391
Phone: (513) 538-4228
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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 PT021694 (OH)

Record details

NPI number1083503890
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedJune 30, 2025
Last updated in NPPESJune 30, 2025
Certification dateJune 29, 2025
Mailing address2984 Sorbus Dr, Hamilton, OH 45013-9567

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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