Jacklyn Marie Wagner, ATC, DPT, PT
- Affiliated sites
- 2
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2015
- Practice address
- 50 Foden Road, South Portland, ME 04106
- Practice phone
- Call (207) 523-3620
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
InterMed Imaging - South Portland
Mammography / Breast Imaging Center · South Portland, Maine
Find Jacklyn Wagner's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Jacklyn Marie Wagner is a physical therapist in South Portland, Maine
Jacklyn Wagner practices at InterMed Imaging - South Portland in South Portland, Maine.
Jacklyn Wagner's NPI, 1659745073, was assigned on November 23, 2015. Jacklyn Wagner holds Maine license PT5423.
- NPI
- 1659745073NPI Registry (opens in a new tab)
- Medicare PAC ID
- 6305278110
- NPI enumeration date
- November 23, 2015
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (207) 523-3620
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Jacklyn Marie Wagner practices at InterMed Imaging - South Portland in South Portland, Maine
Jacklyn Wagner's primary practice is InterMed Imaging - South Portland, at 50 Foden Road, South Portland, ME 04106. The practice phone is (207) 523-3620.
- InterMed Imaging - South Portland50 Foden Road, South Portland, ME 04106Phone(207) 523-3620
Source: Dmand AI Affiliation Data
Jacklyn Marie Wagner is affiliated with 2 sites of care and 1 medical group
Jacklyn Wagner's primary practice is InterMed Imaging - South Portland in South Portland, Maine. The medical group on file is InterMed, P.A. Dmand AI also links Jacklyn Wagner to 1 more group practice or clinic, named with a free account. Jacklyn Wagner's employer is on file too: a breast imaging center.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Jacklyn Marie Wagner's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Jacklyn Wagner practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| InterMed Imaging - South Portland | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
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Jacklyn Marie Wagner is one of 835 physical therapists in Maine
Physical therapist is Jacklyn Wagner's primary specialty in the NPI Registry, under taxonomy code 225100000X. Jacklyn Wagner is licensed in Maine.
Specialties and state licenses
- Physical therapist, MainePrimary
Physical therapists near Jacklyn Wagner
Counts of physical therapists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Jacklyn Marie Wagner's patients have a median age of 64
Across all payers, Dmand AI patient panel data puts Jacklyn Wagner's median patient age at 64, with 56% women.
Jacklyn Wagner's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 64
Patient panel by sex, all payers
- Women56%
- Men33%
Source: Dmand AI Patient Panel Data
How Jacklyn Marie Wagner takes part in Medicare
Jacklyn Wagner accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Jacklyn Marie Wagner's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Jacklyn Marie Wagner
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Jacklyn Marie Wagner's NPI number?
Jacklyn Marie Wagner's NPI number is 1659745073. It was assigned on November 23, 2015, and it is active in the NPI Registry.
What does Jacklyn Marie Wagner specialize in?
Jacklyn Marie Wagner is a physical therapist in South Portland, Maine. The primary specialty in the NPI Registry is Physical Therapist (taxonomy code 225100000X).
Where does Jacklyn Marie Wagner practice?
Jacklyn Wagner practices at 50 Foden Road, South Portland, ME 04106. Jacklyn Wagner's primary practice is InterMed Imaging - South Portland in South Portland, Maine. Dmand AI also links Jacklyn Wagner to 1 group practice or clinic.
What is Jacklyn Marie Wagner's office phone number?
The practice phone on file for Jacklyn Wagner is (207) 523-3620.
What is Jacklyn Marie Wagner's medical license number?
Jacklyn Wagner holds Maine license PT5423.
What medical group is Jacklyn Marie Wagner part of?
Jacklyn Wagner is linked to InterMed, P.A.
Does Jacklyn Marie Wagner accept Medicare?
Yes. CMS lists Jacklyn Wagner as accepting Medicare assignment.
How long has Jacklyn Marie Wagner been practicing?
Jacklyn Wagner's NPI was assigned in 2015.
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