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BLAIR ELLEN WAGONER
NPI 1891939344
Physical Therapist - Pediatrics in Lexington, KY

Active since April 28, 2009
1001 MONARCH ST, SUITE 110, LEXINGTON, KY 40513(859) 224-0834 Get Directions Write a Review

NPPES record last updated: April 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blair Ellen Wagoner NPPES

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

BLAIR ELLEN WAGONER (NPI 1891939344) is an individual pediatrics provider in Lexington, Kentucky, licensed in Kentucky (PT005412) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1891939344
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameBLAIR ELLEN WAGONER
Location Address1001 MONARCH ST, SUITE 110Lexington, KY 40513-1495
Mailing Address115 West DrMurray, KY 42071-9830 · (270) 293-0758
Phone(859) 224-0834
Sole ProprietorNo
Enumeration DateApril 28, 2009
Last NPPES UpdateApril 9, 2010
✔ NPI 1891939344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in KY · PT005412
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
Also ListedPhysical TherapistTaxonomy 225100000X · License PT 3141 (AR)
1001 MONARCH ST, Lexington, KY 40513
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Other Providers at the Same Location NPPES 5

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

MRS. MIRANDA WYNN BULLOCK-DAVIDSON M.S., CFY-SLP
Speech-Language Pathologist
1001 MONARCH ST, STE. 110
LEXINGTON, KY 40513
Fayette County (859) 224-0834
GARNETT C. BROWN III D.M.D. PSC
Dentist (Periodontics)
1001 MONARCH ST, SUITE 200
LEXINGTON, KY 40513
Fayette County (859) 685-3110
MRS. JENNIFER LIGGETT HELLARD SLP
Speech-Language Pathologist
1001 MONARCH ST, SUITE 110
LEXINGTON, KY 40513
Fayette County (859) 224-0834
ON THE MOVE PEDIATRIC THERAPY
Physical Therapist (Pediatrics)
1001 MONARCH ST, SUITE 110
LEXINGTON, KY 40513
Fayette County (859) 401-2941
LDE, MD, PLLC
Internal Medicine
1001 MONARCH ST, STE 110
LEXINGTON, KY 40513
Fayette County (859) 224-3026

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 Blair Wagoner's NPI number?

The NPI number for Blair Wagoner is 1891939344. It was assigned to this individual provider in the NPPES registry on April 28, 2009.

Where is Blair Wagoner located?

Blair Wagoner practices at 1001 Monarch St Suite 110, Lexington, KY 40513. The listed phone number is (859) 224-0834.

What is Blair Wagoner's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Blair Wagoner was last updated on April 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.