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

Nicholas Mark Wagner, DPT

Individual provider Physical Therapist · NPI 1386685360

Nicholas Mark Wagner, DPT is a Physical Therapist in Private Practice in Little Rock, Arkansas. Qualified in 2005, 21 years ago. Practices with Orthoarkansas PA, a 147-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
21
Licensed in
AR
In the registry since
2006
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

600 S McKinley St Ste 210
Little Rock, AR 72205-5202
Phone: (501) 225-0181
Fax: (501) 225-0384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT2846 (AR)

Record details

NPI number1386685360
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 9, 2006
Last updated in NPPESJune 17, 2014

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Orthoarkansas Pa — 147 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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