| James Blake Wagner, PT | |
|
1525 Country Club Rd, Sherwood, AR 72120-5076 | |
| (501) 978-3135 | |
| (501) 978-3138 |
| Full Name | James Blake Wagner |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 24 Years |
| Location | 1525 Country Club Rd, Sherwood, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306804448 | NPI | - | NPPES |
| 5W797C153 | Other | AR | AR BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251S0007X | Physical Therapist - Sports | PT2565 (Arkansas) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | PT2565 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthoarkansas Pa | 1456256031 | 136 |
| Provider Name | Orthoarkansas Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952336869 PECOS PAC ID: 1456256031 Enrollment ID: O20031205000490 |
| Mailing Address | Practice Location Address |
|---|---|
| James Blake Wagner, PT 1525 Country Club Rd, Sherwood, AR 72120-5076 Ph: (501) 978-3135 | James Blake Wagner, PT 1525 Country Club Rd, Sherwood, AR 72120-5076 Ph: (501) 978-3135 |
Garrett Miller, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13133 Highway 107, Sherwood, AR 72120 Phone: 501-392-6590 | |
Mrs. Vickie Christine Durham, BS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9880 Brockington Rd, Suite 147, Sherwood, AR 72120 Phone: 501-944-7819 Fax: 501-251-1165 | |
Hallie Dawn Mossman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1540 Country Club Rd, Sherwood, AR 72120 Phone: 501-753-5459 | |
Ashlie Rena Connor, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1540 Country Club Rd, Sherwood, AR 72120 Phone: 501-753-5459 | |
Mary Kaye Hill, PT, DPT, NCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6020 Warden Road, Sherwood, AR 72120 Phone: 501-231-8917 | |
Playtime Childrens Therapies, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 297 W Kiehl Ave, Sherwood, AR 72120 Phone: 501-833-1912 | |
Mr. Erick L Lane, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2215 Wildwood Ave, Sherwood, AR 72120 Phone: 501-834-1800 |