Blake Douglas Wagner

PT | Physical Therapist | 33+ years Exp


  
410 E 22nd St Ste 2, Fremont
Nebraska, 68025-2640

 800-974-4378     630-515-1536Maps & Directions
Blake Douglas Wagner is a Fremont, Nebraska based male physical therapist with 33 years of experience in Physical Therapy. He completed his graduation from Other in 1991. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Blake Douglas Wagner as Physical Therapist is 1004 in Nebraska.
Blake Douglas Wagner evaluate and treat people with health problems resulting from injury or disease. He 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. 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. Physical therapy is a 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.
Complete Profile:
Blake Douglas Wagner speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Physical Therapy
Credentials: PT
Experience: 33+ years
Medical School Attended:Other
Graduation Year:1991
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:410 E 22nd St Ste 2, Fremont,
Nebraska, 68025-2640
Phone:800-974-4378
Fax:630-515-1536
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 5193726396
Enrollment ID: I20070130000439
NPI Number: 1811057664
NPI Enumeration Date: 11 Dec, 2006
NPI Last Update On: 30 Oct, 2023

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Blake Douglas Wagner are as mentioned below.
License NumberSpecializationStateStatus
1004Physical Therapy NebraskaPrimary
01883Physical Therapy IowaSecondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Blake Douglas Wagner is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Community Rehab Of Iowa Llc (9830190131)8
Community Rehab, Llc (3173428562)13
Other Medical Identifiers:
Other legacy medical identifiers associated with Blake Douglas Wagner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
29675OtherIowaBCBS IA-WELLMARK
0762989MedicaidIowa
P00636067OtherIowaRR MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 24014 W Renwick Rd Unit 206,
Plainfield, Illinois
Zip: 60544-8711
Phone Number: 800-974-4378
Fax Number: 630-515-1536
Patients can reach Blake Douglas Wagner at 410 E 22nd St Ste 2, Fremont, Nebraska or can call to book an appointment on 800-974-4378. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.

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