Jason Wagnon, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2449 Issued in AR

Practice address

5500 Central Ave Ste a
Hot Springs, AR 71913-9712

Phone

(501) 701-4339

NPI assigned

Aug 23, 2006

Last updated

Jul 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Tri-Lakes Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Hot Springs, AR
  • NPI 1346336245
  Medicare reassignment NPD
• Wagnon Physical Therapy LLC

  • Physical Therapist
  • Hot Springs, AR
  • NPI 1265150601
  Medicare reassignment NPD
• Sheridan Physical Therapy Clinic

  dba Roger Saenger, RPT

  • Physical Therapist
  • Sheridan, AR
  • NPI 1730188350
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1639285265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 CENTRAL AVE STE A",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719139712",
            "telephone_number": "501-701-4339",
            "fax_number": "501-701-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 CENTRAL AVE STE A",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719139712",
            "telephone_number": "501-701-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNON",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT2449",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AR",
            "license": "PT2449",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141072721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priscilla Alice Wacaster, M.D.
• Billy Kossuth Wade, MD
• Domonique Deshea Wadley, PHARMD
• Misti Wagley, LPN
• Wagnon Physical Therapy LLC
• Mian Adnan Waheed, M.D.
• Wal-Mart Stores, Inc. (Vision Center 30-0261)
• Wal-Mart Stores, Inc. (Vision Center 30-0052)
• Justin K Walden, MD
• Amythyst Waldron

• Physical Therapist in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.