RICHARD WAGER PHYSICAL THERAPIST
NPI 1912989252
Physical Therapist - Sports in Belleville, IL

Active since November 14, 2005
2346 MASCOUTAH AVE, BELLEVILLE, IL 62220(618) 277-6282(618) 277-6284 Get Directions Write a Review

NPPES record last updated: July 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Richard Wager Physical Therapist NPPES

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

RICHARD WAGER PHYSICAL THERAPIST (NPI 1912989252) is an individual sports provider in Belleville, Illinois, licensed in Illinois (070004745) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1912989252
Entity TypeIndividualMale
Primary Taxonomy2251S0007X
Provider Legal NameRICHARD WAGERCredential: PHYSICAL THERAPIST
Location Address2346 MASCOUTAH AVEBelleville, IL 62220-3499
Mailing Address2346 Mascoutah AveBelleville, IL 62220-3499 · (618) 277-6282 · Fax (618) 277-6284
Fax(618) 277-6284
Sole ProprietorNo
Enumeration DateNovember 14, 2005
Last NPPES UpdateJuly 29, 2016
NPI 1912989252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
License Licensed in IL · 070004745
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 096000735 (IL)
2346 MASCOUTAH AVE, Belleville, IL 62220

Other Identifiers 1

Medicare ID-Type Unspecified436500IL

Other Providers at the Same Location NPPES 4

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

Specialist/Technologist (Athletic Trainer)
2346 MASCOUTAH AVE
BELLEVILLE, IL 62220
Physical Therapist
2346 MASCOUTAH AVE
BELLEVILLE, IL 62220
Physical Therapist
2346 MASCOUTAH AVE
BELLEVILLE, IL 62220
Physical Therapist
2346 MASCOUTAH AVE
BELLEVILLE, IL 62220

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 Richard Wager's NPI number?

The NPI number for Richard Wager is 1912989252. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Richard Wager located?

Richard Wager practices at 2346 Mascoutah Ave, Belleville, IL 62220. The listed phone number is (618) 277-6282.

What is Richard Wager's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Richard Wager was last updated on July 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.