Cassie Janae Wagler, PT, DPT

Individual provider Active NPI Physical Therapist · Loogootee, IN

NPI 1528616638 · NPPES record last updated Sep 1, 2019

Key facts

NPI
1528616638
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
05013473A (IN)
Practice address
300 E Broadway St
Loogootee, IN 47553-1708
Phone
(812) 709-3286
NPI assigned
Sep 1, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
05013473AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin County Urgent Care LLC Current
since Aug 13, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05013473A IN Yes

Addresses

Primary practice location

300 E Broadway St
Loogootee, IN 47553-1708

Mailing address

300 E Broadway St
Loogootee, IN 47553-1708
Phone (812) 703-3286

Other practice location 1

300 E Broadway St
Loogootee, IN 47553-1708
Phone (812) 709-3286

Other providers in Loogootee, IN

All providers in Loogootee, IN · Physical Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.