Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

James Blake Wagner, PT

Individual provider Sports Physical Therapist · NPI 1306804448

James Blake Wagner, PT is a Physical Therapist in Private Practice in Sherwood, Arkansas. Qualified in 2001, 25 years ago. Practices with Orthoarkansas PA, a 147-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
25
Licensed in
AR
In the registry since
2006
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

1525 Country Club Rd
Sherwood, AR 72120-5076
Phone: (501) 978-3135
Fax: (501) 978-3138
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PT2565 (AR)
Sports Physical Therapist Taxonomy 2251S0007X · Licence PT2565 (AR)

Record details

NPI number1306804448
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 1, 2006
Last updated in NPPESMarch 11, 2014
Mailing address1525 Country Club Rd, Sherwood, AR 72120-5076

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Orthoarkansas Pa — 147 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount