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

Trever Wagner, PT, DPT

Individual provider Physical Therapist · NPI 1649629080

Trever Wagner, PT, DPT is a Physical Therapist in Private Practice in Rapid City, South Dakota. Qualified in 2016, 10 years ago. Practices with Physiolife 605 PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
10
Licensed in
SD
In the registry since
2016
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1110 W Omaha St # 3
Rapid City, SD 57701-8120
Phone: (605) 721-5950
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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 1898 (SD)

Record details

NPI number1649629080
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 7, 2016
Last updated in NPPESJune 7, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Physiolife 605 Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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