Trever L Wagner (NPI# 1649629080, PAC ID# 0345533592) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1649629080 |
| PAC ID by PECOS | 0345533592 |
| Professional Enrollment ID | I20160726000167 |
| Full Name | Trever L Wagner |
| Organization Legal Name | RAPID CITY PHYSICAL THERAPY, INC |
| Address |
1110 W Omaha St Suite 3 Rapid City SD 57701-8119 |
| Phone Number | 6057215950 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 3870588437 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1110 W Omaha St, Suite 3, Rapid City, SD 57701-8119 | 6057215950 | RAPID CITY PHYSICAL THERAPY, INC |
| Organization Legal Name | RAPID CITY PHYSICAL THERAPY, INC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Norman A Fasse | Physical Therapy | Rapid City Physical Therapy, Inc | 1110 W Omaha St, Suite 3, Rapid City, SD 57701-8119 |
| Gregory E Cagle | Physical Therapy | Rapid City Physical Therapy, Inc | 1110 W Omaha St, Suite 3, Rapid City, SD 57701-8119 |
| Beth A Heier | Physical Therapy | Rapid City Physical Therapy, Inc | 1110 W Omaha St, Suite 3, Rapid City, SD 57701-8119 |
| Mariah D Heaton | Physical Therapy | Rapid City Physical Therapy, Inc | 1110 W Omaha St, Suite 3, Rapid City, SD 57701-8119 |
| Cristian J Van Dyke | Physical Therapy | Rapid City Physical Therapy, Inc | 1110 W Omaha St, Suite 3, Rapid City, SD 57701-8119 |
| Kristoffer S Meredith | Physical Therapy | Rapid City Physical Therapy, Inc | 1110 W Omaha St, Suite 3, Rapid City, SD 57701-8119 |
| Dureece L Lingwall | Physical Therapy | Rapid City Physical Therapy, Inc | 1110 W Omaha St, Suite 3, Rapid City, SD 57701-8119 |
| Stephen E Guy | Physical Therapy | Rapid City Physical Therapy, Inc | 1110 W Omaha St, Suite 3, Rapid City, SD 57701-8097 |
| Christopher A Schlegel | Physical Therapy | Rapid City Physical Therapy, Inc | 1110 W Omaha St, Suite 3, Rapid City, SD 57701-8097 |
| Brett D Forman | Physical Therapy | Rapid City Physical Therapy, Inc | 1110 W Omaha St, Suite 3, Rapid City, SD 57701-8097 |
| Street Address |
1110 W OMAHA ST SUITE 3 |
| City | RAPID CITY |
| State | SD |
| Zip | 57701-8119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Norman A Fasse | Physical Therapy | Rapid City Physical Therapy, Inc | 1110 W Omaha St, Suite 3, Rapid City, SD 57701-8119 |
| Gregory E Cagle | Physical Therapy | Rapid City Physical Therapy, Inc | 1110 W Omaha St, Suite 3, Rapid City, SD 57701-8119 |
| Beth A Heier | Physical Therapy | Rapid City Physical Therapy, Inc | 1110 W Omaha St, Suite 3, Rapid City, SD 57701-8119 |
| Mariah D Heaton | Physical Therapy | Rapid City Physical Therapy, Inc | 1110 W Omaha St, Suite 3, Rapid City, SD 57701-8119 |
| Cristian J Van Dyke | Physical Therapy | Rapid City Physical Therapy, Inc | 1110 W Omaha St, Suite 3, Rapid City, SD 57701-8119 |
| Kristoffer S Meredith | Physical Therapy | Rapid City Physical Therapy, Inc | 1110 W Omaha St, Suite 3, Rapid City, SD 57701-8119 |
| Dureece L Lingwall | Physical Therapy | Rapid City Physical Therapy, Inc | 1110 W Omaha St, Suite 3, Rapid City, SD 57701-8119 |
| Stephen E Guy | Physical Therapy | Rapid City Physical Therapy, Inc | 1110 W Omaha St, Suite 3, Rapid City, SD 57701-8097 |
| Christopher A Schlegel | Physical Therapy | Rapid City Physical Therapy, Inc | 1110 W Omaha St, Suite 3, Rapid City, SD 57701-8097 |
| Brett D Forman | Physical Therapy | Rapid City Physical Therapy, Inc | 1110 W Omaha St, Suite 3, Rapid City, SD 57701-8097 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roberta A Kramlich | Psychologist, Clinical | R. P. Renka, M.d.,p.c. | 528 Qunicy St, Rapid City, SD 57701 |
| Ericka L Privitt | Nurse Practitioner | Black Hills Dermatology PC | 7236 Jordan Dr, Suite 101, Rapid City, SD 57701 |
| Julie A Krein | Nurse Practitioner | Black Hills Dermatology PC | 7236 Jordan Dr, Suite 101, Rapid City, SD 57701 |
| Vassilia D Young | Dermatology | Black Hills Dermatology PC | 7236 Jordan Dr, Suite 101, Rapid City, SD 57701 |
| Richard P Renka | Psychiatry | R. P. Renka, M.d.,p.c. | 528 Qunicy St, Rapid City, SD 57701 |
| Danielle L Shafer | Physician Assistant | Black Hills Surgical Hospital, LLP | 1730 Haines Ave, Rapid City, SD 57701-0615 |
| Christine M Zambon | Physician Assistant | Black Hills Surgical Hospital, LLP | 1730 Haines Ave, Rapid City, SD 57701-0615 |
| Kenneth B Peterson | Family Medicine | Black Hills Surgical Hospital, LLP | 1730 Haines Ave, Rapid City, SD 57701-0615 |
| Cheryl L Reagan | Nurse Practitioner | Black Hills Surgical Hospital, LLP | 1730 Haines Ave, Rapid City, SD 57701-0615 |
| David K Custis | Physician Assistant | Black Hills Surgical Hospital, LLP | 1730 Haines Ave, Rapid City, SD 57701-0615 |
| Find all physicians in zip 57701 | |||
| City | RAPID CITY |
| Zip Code | 57701 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | RAPID CITY + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Trever L Wagner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.