Mrs. Jennifer Lee Wagoner, PT
Mrs. Jennifer Lee Wagoner, PT is registered under Physical Therapist in Private Practice in Macomb, Illinois. Qualified in 2007, 19 years ago. Practices with Springfield Clinic, LLP, a 679-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 19
- Licensed in
- IL
- In the registry since
- 2011
What do these letters mean?
- PT — Physical Therapist
- A licensed therapist who treats movement, pain and injury.
Practice location Address checks out
505 E Grant StMacomb, IL 61455-3352
Phone: (309) 833-1733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 625 E Monroe St, Cuba, IL 61427-5109 — (309) 785-5012
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 070015942 (IL) |
|---|
Record details
| NPI number | 1861785206 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PT |
| Sole proprietor | No |
| NPI enumerated | May 18, 2011 |
| Last updated in NPPES | February 10, 2022 |
| Certification date | February 10, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2007 (19 years in practice) |
| Group practice | Springfield Clinic, Llp — 679 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Macomb
-
Victor Erude Lidaywa, DPT
1701 W Jackson St Ste C, Macomb, IL 61455-3175 · (309) 331-3590
-
MS. Jody Lee Loop, PT
8 Doctors Ln, Macomb, IL 61455-3310 · (309) 833-5555
-
Dana Peacock
525 E Grant St, Macomb, IL 61455-3318 · (309) 836-1601
-
Sherri Lynn Vancil, PT
130 S Lafayette St Ste 201, Macomb, IL 61455-2239 · (309) 837-3911