Blake Wagner (NPI# 1811057664, PAC ID# 5193726396) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1811057664 |
PAC ID by PECOS | 5193726396 |
Professional Enrollment ID | I20070130000439 |
Full Name | Blake Wagner |
Organization Legal Name | COMMUNITY REHAB OF IOWA LLC |
Address |
3111 Gordon Dr Sioux City IA 51105-3730 |
Phone Number | 7122770507 |
Gender | M |
Graduation Year | 1991 |
Primary Specialty | PHYSICAL THERAPY |
Group Practice PAC ID | 9830190131 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
110 N 37th St, 102 Ati Physical Therapy, Norfolk, NE 68701-3283 | 4023710730 | COMMUNITY REHAB, LLC |
3111 Gordon Dr, Sioux City, IA 51105-3730 | 7122770507 | COMMUNITY REHAB OF IOWA LLC |
Organization Legal Name | COMMUNITY REHAB OF IOWA LLC |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
Thaddeus R Liebig | Physical Therapy | Community Rehab of Iowa LLC | 3111 Gordon Dr, Sioux City, IA 51105-3730 |
Brooke Nicole Bear | Physical Therapy | Community Rehab of Iowa LLC | 11895 Hickman Rd, Suite 300and400, Urbandale, IA 50323-1821 |
Michael L Rohde | Physical Therapy | Community Rehab of Iowa LLC | 2410 E 7th St, Ati Physical Therapy, Atlantic, IA 50022-1961 |
Joseph Johns | Physical Therapy | Community Rehab of Iowa LLC | 2410 E 7th St, Ati Physical Therapy, Atlantic, IA 50022-1961 |
John D Brandt | Physical Therapy | Community Rehab of Iowa LLC | 2410 E 7th St, Ati Physical Therapy, Atlantic, IA 50022-1961 |
Michelle N Graeve | Physical Therapy | Community Rehab of Iowa LLC | 2410 E 7th St, Ati Physical Therapy, Atlantic, IA 50022-1961 |
Street Address |
3111 GORDON DR |
City | SIOUX CITY |
State | IA |
Zip | 51105-3730 |
Name | Specialty | Organization | Address |
---|---|---|---|
Thaddeus R Liebig | Physical Therapy | Community Rehab of Iowa LLC | 3111 Gordon Dr, Sioux City, IA 51105-3730 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mark O Carlson | Internal Medicine | Siouxland Adult Medicine, Pllc | 1605 Douglas St, Sioux City, IA 51105-1109 |
David H Daniels | Internal Medicine | Siouxland Adult Medicine, Pllc | 1605 Douglas St, Sioux City, IA 51105-1109 |
James A Bjork | Chiropractic | 1406 Nebraska St, Sioux City, IA 51105-1237 | |
Bradley Arthur Chicoine | Chiropractic | Dr Bradley A Chicoine PC | 1501 Nebraska St, Sioux City, IA 51105-1240 |
Jennifer Chicoine | Chiropractic | Dr Bradley A Chicoine PC | 1501 Nebraska St, Sioux City, IA 51105-1240 |
John D Kiernan | Optometry | 1214 Pierce St, Sioux City, IA 51105-1417 | |
Danielle Jessica Hay | Obstetrics/gynecology | Siouxland Women's Health Care PC | 1000 Jackson St, Sioux City, IA 51105-1431 |
Kevin W Hamburger | Obstetrics/gynecology | Siouxland Women's Health Care PC | 1000 Jackson St, Sioux City, IA 51105-1431 |
Jodi L Netley | Nurse Practitioner | Siouxland Women's Health Care PC | 1000 Jackson St, Sioux City, IA 51105-1431 |
Mary T Schneider | Obstetrics/gynecology | Siouxland Women's Health Care PC | 1000 Jackson St, Sioux City, IA 51105-1431 |
Find all physicians in zip 51105 |
City | SIOUX CITY |
Zip Code | 51105 |
Specialty | PHYSICAL THERAPY |
City + Specialty | SIOUX CITY + PHYSICAL THERAPY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.