MRS. BONNY MICHELLE WAGNER (NPI# 1114029204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114029204 |
| Entity Type | Individual |
| Full Name | MRS. BONNY MICHELLE WAGNER |
| Credential | OYR / CHT |
| Practice Address |
663 Sunset Ln Culpeper VA 22701-3919 |
| Mailing Address |
1503 Wrights Ln Radiant VA 22732-3254 |
| Practice Telephone | 5408255368 |
| Practice Fax Number | 5408290937 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
0119000341 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MAMSI | 294919 | 01 |
| VA | AETNA | 7727302 | 01 |
| VA | ANTHEM BCBS | 334575 | 01 |
| Street Address |
663 SUNSET LN |
| City | CULPEPER |
| State | VA |
| Zip Code | 22701-3919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801845961 | Robert Rutkowski | Orthopaedic Surgery | 663 Sunset Ln, Culpeper, VA 22701-3919 | 2006-05-08 |
| 1811387699 | Barbara E Clatterbaugh | Physical Therapist | 663 Sunset Ln, Culpeper, VA 22701-3919 | 2015-01-30 |
| 1033423546 | David W Stackhouse | Physical Therapist | 663 Sunset Ln, Culpeper, VA 22701-3919 | 2010-07-27 |
| 1063567725 | Virginia Orthopaedic Center P.C. | Physical Therapist | 663 Sunset Ln, Culpeper, VA 22701-3919 | 2007-01-24 |
| 1881749547 | Virginia Orthopaedic Center P.C. | Occupational Therapist | 663 Sunset Ln, Culpeper, VA 22701-3919 | 2007-01-24 |
| 1427150267 | Kee Ashby Miller | Physical Therapist | 663 Sunset Ln, Culpeper, VA 22701-3919 | 2006-09-02 |
| 1679524797 | Benjamin F. Allen Jr. | Orthopaedic Surgery | 663 Sunset Ln, Culpeper, VA 22701-3919 | 2006-05-13 |
| 1821047366 | Wahid Mansur Baqaie | Orthopaedic Surgery | 663 Sunset Ln, Culpeper, VA 22701-3919 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720621907 | Warzetta Delphina Carter | Technician | 1415 Orange Rd., Culpeper, VA 22701 | 2019-10-21 |
| 1043747983 | Jeremy L. Mccullough | Physical Therapist | 15331 Creativity Dr # 960, Culpeper, VA 22701 | 2017-05-22 |
| 1013366921 | Angel Wings Family Services LLC. | Home Health | 133 East Davis Street Suite 330, Culpeper, VA 22701 | 2016-06-10 |
| 1598114654 | Aa Lightfoot Transportation | Non-emergency Medical Transport (VAN) | 13908 Eggbornsville Rd, Culpeper, VA 22701 | 2016-06-09 |
| 1780087437 | Healing Hands Therapeutic Massage, LLC. | Massage Therapist | 530 Sunset Lane, Culpeper, VA 22701 | 2014-10-08 |
| 1053694893 | Sharon Darling | Pharmacist | 309 Southgate Sc, Culpeper, VA 22701 | 2011-09-27 |
| 1821371196 | Cathy Annette Crain | Pharmacist | 309 Southgate, Safeway Pharmacy, Culpeper, VA 22701 | 2011-09-23 |
| 1447572698 | Jordan Lee Nougaret | Specialist/Technologist | 132 Standpipe Road, Culpeper, VA 22701 | 2010-02-15 |
| 1194957324 | Giant Food Stores, LLC | Pharmacy | 15371 Montanus Drive, Culpeper, VA 22701 | 2009-08-21 |
| 1093959611 | Samantha Jane Reynolds | Physician Assistant | 1100 Sunset Lane 1211-a, Culpeper, VA 22701 | 2009-04-27 |
| Find all providers in zip 22701 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467935262 | Corinne Nicole Kelly | Occupational Therapist | 14370 Lee Hwy Ste 104, Gainesville, VA 20155-4865 | 2018-09-08 |
| 1861997694 | Valley Hand Therapy | Occupational Therapist | 812 Amherst St Ste 101, Winchester, VA 22601-3344 | 2018-03-26 |
| 1780089474 | Emily Giordano | Occupational Therapist | 1000 Lakefront Commons, Apt 210, Newport News, VA 23606 | 2014-10-24 |
| 1578983441 | Lan Van-buendia | Occupational Therapist | 7536 Gardner Park Dr, Suite 7536, Gainesville, VA 20155-3414 | 2014-04-18 |
| 1851734958 | Cara K Richardson | Occupational Therapist | 2364 Madison Ave., Virginia Beach, VA 23455 | 2013-04-09 |
| 1790027696 | Jeanine Miller Adams | Occupational Therapist | 7536 Gardner Park Dr Ste 7536, Gainesville, VA 20155-3414 | 2013-03-19 |
| 1114137981 | Amy Anderson Siegel | Occupational Therapist | 450 Garrisonville Rd Ste 102, Stafford, VA 22554 | 2007-05-23 |
| 1073657953 | Hand Rehabilitation of Hampton Roads, Inc | Occupational Therapist | 320 Monticello Ave, Williamsburg, VA 23185-2834 | 2007-02-16 |
| 1073657938 | Hand Rehabilitation of Hampton Roads, Inc | Occupational Therapist | 667 Kingsborough Sq, #100, Chesapeake, VA 23320-4999 | 2007-02-16 |
| 1932243888 | Hand Rehabilitation of Hampton Roads, Inc | Occupational Therapist | 601 Thimble Shoals Blvd, #103, Newport News, VA 23606-2593 | 2007-02-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.