NICHOLAS MARK WAGNER (NPI# 1386685360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386685360 |
| Entity Type | Individual |
| Full Name | NICHOLAS MARK WAGNER |
| Credential | DPT |
| Practice Address |
600 S Mckinley St Suite 210 Little Rock AR 72205-5202 |
| Practice Telephone | 5012250181 |
| Practice Fax Number | 5012250384 |
| Mailing Telephone | 5012250181 |
| Mailing Fax Number | 5012250384 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2014-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT2846 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | ABCBS | 5Y867 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073151387 | Nicholas Wagner | Occupational Therapy Assistant | 358 Lagoon Lane, Silverthorne, CO 80498 | 2019-12-17 |
| 1831612316 | Nicholas Wagner | Licensed Vocational Nurse | 321 Cassidy St, Oceanside, CA 92054-5314 | 2017-07-17 |
| 1023338480 | Nicholas Joseph Wagner | Dentist | 800 Office Park Dr, Boonville, IN 47601-8601 | 2010-06-09 |
| 1770801359 | Nicholas R Wagner | Nurse Practitioner | 1000 Lakeview Rd, Suite 4, Clearwater, FL 33756-3475 | 2010-05-06 |
| 1497915565 | Nicholas J. Wagner | Pediatrics | 7900 Fm 1826, Bldg. 1, Ste. 220, Austin, TX 78737 | 2008-06-12 |
| Street Address |
600 S MCKINLEY ST SUITE 210 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-5202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467430702 | George Thomas Frazier Jr. | Orthopaedic Surgery | 600 S Mckinley St, Suite 200, Little Rock, AR 72205-5202 | 2006-01-06 |
| 1750822581 | Amber Renee Fontenot | Specialist/Technologist | 600 S Mckinley St, Little Rock, AR 72205-5202 | 2017-03-13 |
| 1992246722 | Jennifer Braithwaite Wright | Specialist/Technologist | 600 S Mckinley St, Little Rock, AR 72205-5202 | 2017-03-13 |
| 1538510490 | Melissa L Hulett | Nurse Practitioner | 600 S Mckinley St, Little Rock, AR 72205-5202 | 2016-06-22 |
| 1902263148 | Trent M Tappan | Physician Assistant | 600 S Mckinley St, Little Rock, AR 72205-5202 | 2016-01-19 |
| 1780041939 | Christina Byler | Physician Assistant | 600 S Mckinley St, Little Rock, AR 72205-5202 | 2016-01-19 |
| 1841665510 | Samantha S Lawson | Physician Assistant | 600 S Mckinley St, Little Rock, AR 72205-5202 | 2015-12-07 |
| 1962898460 | Robert Terrell IIi | Physician Assistant | 600 S Mckinley St, Little Rock, AR 72205-5202 | 2015-04-10 |
| 1306242615 | Cortney Hapner | Occupational Therapist | 600 S Mckinley St, Little Rock, AR 72205-5202 | 2014-11-13 |
| 1225446792 | Callie Paden | Specialist/Technologist | 600 S Mckinley St, Little Rock, AR 72205-5202 | 2014-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116481 | Kendra Kay Romig | Physical Therapist | 1617 Brookwood Dr, Little Rock, AR 72202 | 2020-08-25 |
| 1346877214 | Arkansas Pelvic Health Pllc | Physical Therapist | 10825 Kanis Rd Ste 300, Little Rock, AR 72211-3872 | 2020-03-23 |
| 1952945776 | Collin Everett Brown | Physical Therapist | 10815 Colonel Glenn Rd Ste 500, Little Rock, AR 72204-8041 | 2019-11-05 |
| 1457905234 | Arkansas Osteopractic Pllc | Physical Therapist | 10301 N. Rodney Parham Rd. Ste. B-3, Little Rock, AR 72227 | 2019-07-30 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1477018612 | Joyce Wagoner | Physical Therapist | 8 Flintwood Dr, Little Rock, AR 72227-5829 | 2019-02-01 |
| 1497273304 | Kelsey Moix | Physical Therapist | 10014 N Rodney Parham Rd Ste 103, Little Rock, AR 72227-5598 | 2017-08-31 |
| 1104343102 | Jennifer Lee Montgomery | Physical Therapist | 6418 The Divide Pkwy Apt 302, Little Rock, AR 72223-5858 | 2017-08-29 |
| 1790231272 | Graeme Higgins | Physical Therapist | 1909 Hinson Loop Rd, Little Rock, AR 72212-3903 | 2016-08-25 |
| 1144680224 | Ann Cavenar | Physical Therapist | 4200 N Rodney Parham Rd Ste 102, Little Rock, AR 72212-2458 | 2016-03-02 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.