| Nicholas Mark Wagner, DPT | |
|
600 S Mckinley St, Suite 210, Little Rock, AR 72205-5202 | |
| (501) 225-0181 | |
| (501) 225-0384 |
| Full Name | Nicholas Mark Wagner |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 20 Years |
| Location | 600 S Mckinley St, Little Rock, 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 |
|---|---|---|---|
| 1386685360 | NPI | - | NPPES |
| 5Y867 | Other | AR | ABCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT2846 (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 |
|---|---|
| Nicholas Mark Wagner, DPT 600 S Mckinley St, Suite 210, Little Rock, AR 72205-5202 Ph: (501) 225-0181 | Nicholas Mark Wagner, DPT 600 S Mckinley St, Suite 210, Little Rock, AR 72205-5202 Ph: (501) 225-0181 |
Patricia Hayes Swanson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 Labelle Dr, Little Rock, AR 72204 Phone: 501-444-2390 | |
David Richard Holmquist, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1601 Aldersgate Rd, Little Rock, AR 72205 Phone: 501-687-0851 Fax: 501-687-0853 | |
Blue Rose Physical Therapy - West Little Rock Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 Huntington Rd, Little Rock, AR 72227 Phone: 501-904-2778 Fax: 866-724-7887 | |
Mrs. Ginger Jones Lester, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 708 E Dixon Rd, Little Rock, AR 72206 Phone: 501-490-5837 | |
Kirk Andrew Turnbo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 600 S Mckinley St, 1st Floor Pt Dept, Little Rock, AR 72205 Phone: 501-225-0181 | |
Sarah Olney, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 424 N University Ave, Little Rock, AR 72205 Phone: 501-661-0336 | |
Ms. Karen T Irico, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9601 Interstate 630 Exit 7, Little Rock, AR 72205 Phone: 501-202-2685 Fax: 501-202-2003 |