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

Stacy Smith Wagner, MPT

Individual provider Physical Therapist · NPI 1801188750

Stacy Smith Wagner, MPT is a Physical Therapist in Private Practice in New Haven, Connecticut. Qualified in 1999, 27 years ago. Practices with Ptsma Inc, a 177-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
27
Licensed in
CT
In the registry since
2011
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

See every abbreviation used in this directory →

Practice location Address checks out

1481 Chapel St
New Haven, CT 06511
Phone: (203) 776-9110
Fax: (203) 777-5879
Show map & directions

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

Additional practice locations (1)

  • 481 Gold Star Hwy, Groton, CT 06340-6702 — (860) 446-8254

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 9052 (CT)

Record details

NPI number1801188750
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT
Sole proprietorNo
NPI enumeratedMay 11, 2011
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023
Mailing address1481 Chapel St, New Haven, CT 06511-4305

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Ptsma Inc — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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