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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEXIS R WAGNER ATC
NPI 1023547668
Specialist/Technologist - Athletic Trainer in Kenosha, WI

Active since June 07, 2017
7610 PERSHING BLVD, KENOSHA, WI 53142(262) 948-3600 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 14, 2026, Jul 21, 2022, Jun 7, 2017 (3 updates tracked since 2017).

About Alexis R Wagner Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXIS R WAGNER ATC (NPI 1023547668) is an individual athletic trainer provider in Kenosha, Wisconsin and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1023547668
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameALEXIS R WAGNERCredential: ATC
Location Address7610 PERSHING BLVDKenosha, WI 53142-4318
Mailing Address1857 E Kenilworth Pl Apt 409Milwaukee, WI 53202-4713 · (847) 331-2370
Phone(262) 948-3600
Sole ProprietorNo
Enumeration DateJune 7, 2017
Last NPPES UpdateOctober 14, 20263 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1023547668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
7610 PERSHING BLVD, Kenosha, WI 53142
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL GIESE OTR
Occupational Therapist
7610 PERSHING BLVD
KENOSHA, WI 53142
Kenosha County (262) 948-3600
JOSEPH BLANDO
Clinic/Center (Physical Therapy)
7610 PERSHING BLVD
KENOSHA, WI 53142
Kenosha County (262) 948-3600
ELLEN FEY OT
Occupational Therapist
7610 PERSHING BLVD
KENOSHA, WI 53142
Kenosha County (262) 948-3600
DR. CHRISTOPHER J PASSE PT
Physical Therapist
7610 PERSHING BLVD
KENOSHA, WI 53142
Kenosha County (262) 308-8727
AMY SUSAN THOMPSON PTA
Physical Therapy Assistant
7610 PERSHING BLVD
KENOSHA, WI 53142
Kenosha County (262) 948-3622
ANNIE CAI SLP
Speech-Language Pathologist
7610 PERSHING BLVD
KENOSHA, WI 53142
Kenosha County (262) 948-3600
DANICA MESINA OTR/L
Occupational Therapist
7610 PERSHING BLVD
KENOSHA, WI 53142
Kenosha County (262) 948-3600
ERIN SCIBELLI
Physical Therapist
7610 PERSHING BLVD
KENOSHA, WI 53142
Kenosha County (262) 948-3600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexis Wagner's NPI number?

The NPI number for Alexis Wagner is 1023547668. It was assigned to this individual provider in the NPPES registry on June 7, 2017.

Where is Alexis Wagner located?

Alexis Wagner practices at 7610 Pershing Blvd, Kenosha, WI 53142. The listed phone number is (262) 948-3600.

What is Alexis Wagner's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Alexis Wagner was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.