Individual ProviderMarcus Alan WagnerPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address836 N Rolling Rd, Catonsville, MD 21228-4136(443) 514-0560PECOS EnrollmentBased on the most recent information from CMS, provider Marcus Alan Wagner does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1669274395Provider TypeIndividualFull NameWagner, Marcus AlanCredentialDPTGenderMaleSole ProprietorYesEnumeration Date3/25/2025Last Updated7/30/2025Contact InformationPractice LocationPractice Address836 N Rolling Rd, Catonsville, MD 21228-4136Phone(443) 514-0560Fax(410) 788-8590Mailing LocationMailing Address2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT021620Ohio