Ethan James Wagner, DPT
- Medicare patients, 2024
- 12
- Affiliated sites
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2024
- Practice address
- 20320 I 30 Ste 190 Suite 190, Benton, AR 72019
- Practice phone
- Call (501) 500-8188
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Serc - Benton (I 30)
Physical therapy & rehab practice · Benton, Arkansas
Find Ethan Wagner's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Ethan James Wagner is a physical therapist in Benton, Arkansas
Ethan Wagner practices at Serc - Benton (I 30) in Benton, Arkansas.
Ethan Wagner's NPI, 1104640879, was assigned on November 11, 2024. Ethan Wagner holds Arkansas license PT5585.
- NPI
- 1104640879NPI Registry (opens in a new tab)
- NPI enumeration date
- November 11, 2024
- NPI status
- Active
- Practice phone
- (501) 500-8188
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Ethan James Wagner practices at Serc - Benton (I 30) in Benton, Arkansas
Ethan Wagner's primary practice is Serc - Benton (I 30), at 20320 I 30 Ste 190 Suite 190, Benton, AR 72019. The practice phone is (501) 500-8188.
- Serc - Benton (I 30)20320 I 30 Ste 190 Suite 190, Benton, AR 72019Phone(501) 500-8188
Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Ethan James Wagner is affiliated with 1 site of care and 1 medical group
Ethan Wagner's primary practice is Serc - Benton (I 30) in Benton, Arkansas. The medical group on file is SERC Physical Therapy.
Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dmand AI tracks the EHR system at Ethan James Wagner's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Ethan Wagner practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Serc - Benton (I 30) | Available with a free account |
Source: Dmand AI Technology Install Data
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Ethan James Wagner is one of 919 physical therapists in Arkansas
Physical therapist is Ethan Wagner's primary specialty in the NPI Registry, under taxonomy code 225100000X. Ethan Wagner is licensed in Arkansas.
Specialties and state licenses
- Physical therapist, ArkansasPrimary
Physical therapists near Ethan Wagner
Counts of physical therapists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Ethan James Wagner treated 12 Medicare patients in 2024, average age 75
CMS counts 12 Medicare patients who saw Ethan Wagner in 2024. The largest group is under 65, with 0 patients. 75% of them have high blood pressure. Their average risk score is 1.68, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Ethan Wagner's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Chronic conditions among Ethan Wagner's Medicare patients, 2024
- High blood pressure75%
Share of Medicare patients with each condition. A patient can have several.
Source: Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Sources for Ethan James Wagner's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Medicare patients and the all-payer patient panel | Medicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Ethan James Wagner
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Ethan James Wagner's NPI number?
Ethan James Wagner's NPI number is 1104640879. It was assigned on November 11, 2024, and it is active in the NPI Registry.
What does Ethan James Wagner specialize in?
Ethan James Wagner is a physical therapist in Benton, Arkansas. The primary specialty in the NPI Registry is Physical Therapist (taxonomy code 225100000X).
Where does Ethan James Wagner practice?
Ethan Wagner practices at 20320 I 30 Ste 190 Suite 190, Benton, AR 72019. Ethan Wagner's primary practice is Serc - Benton (I 30) in Benton, Arkansas.
What is Ethan James Wagner's office phone number?
The practice phone on file for Ethan Wagner is (501) 500-8188.
What is Ethan James Wagner's medical license number?
Ethan Wagner holds Arkansas license PT5585.
What medical group is Ethan James Wagner part of?
Ethan Wagner is linked to SERC Physical Therapy.
How many Medicare patients does Ethan James Wagner see?
CMS counts 12 Medicare patients who saw Ethan Wagner in 2024, with an average age of 75.
How long has Ethan James Wagner been practicing?
Ethan Wagner's NPI was assigned in 2024.
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