Logan Mitchell Wagler

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05014354A Issued in IN

Practice address

10146 Maysville Rd
Fort Wayne, IN 46835-9589

Phone

(260) 702-3477

NPI assigned

May 24, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthpro Heritage Rehab and Fitness LLCGroup PAC ID 6507832573, 976 clinicians

Mallers and Swoverland Orthopaedic Physical TherapyGroup PAC ID 2961464169, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.3 of 100Reported as group

Quality

88.48

Improvement activities

40

Cost

72.11

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Merrillville, IN
  • NPI 1053833657
  Medicare reassignment Care Compare group NPD
• Mallers & Swoverland Orthopaedic Physical Therapy

  • Physical Therapist
  • Fort Wayne, IN
  • NPI 1700869732
  Medicare reassignment Care Compare group NPD
• Advanced Physical Therapy, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Indianapolis, IN
  • NPI 1316940505
  Medicare reassignment NPD
• Advanced Physical Therapy, LLC

  • Durable Medical Equipment & Medical Supplies
  • Indianapolis, IN
  • NPI 1700595089

  Physical Therapist

  NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1821663634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10146 MAYSVILLE RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468359589",
            "telephone_number": "260-702-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGLER",
        "first_name": "LOGAN",
        "middle_name": "MITCHELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-24",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014354A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyler Wade
• Nicole Lynn Vesta Wade
• Sylvia Wade, MS ED.
• Kristine L. Waffle, MS, PT
• Logan Waggoner, BCBA
• Amber Wagley
• Jonathan Wagley
• Mary E. Wagmeister, ANP
• Alexandria Wagner
• Jamie Lynn Wagner, PTA

• Physical Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.