MARY WAGNER (NPI# 1144702606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144702606 |
| Entity Type | Individual |
| Full Name | MARY WAGNER |
| Credential | OT |
| Practice Address |
330 Waller Ave Ste 275 Lexington KY 40504-2930 |
| Practice Telephone | 8594478600 |
| Practice Fax Number | 8594478599 |
| Mailing Telephone | 8594478600 |
| Mailing Fax Number | 8594478599 |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2018-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | W10984009 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753185 | Mary Elizabeth Wagner | Registered Nurse | 1804 Connemara Ln, Lafayette, IN 47905-7935 | 2020-08-31 |
| 1730462755 | Mary E Wagner | Durable Medical Equipment & Medical Supplies | 2549 Odaniel Rd, Seguin, TX 78155-1240 | 2011-09-26 |
| 1720361033 | Mary Elaine Wagner | Pharmacist | 1364 Westdale Ave, Winter Park, FL 32792-6059 | 2011-09-22 |
| 1669622049 | Mary Ellen Wagner | Speech-Language Pathologist | 8437 Northcote Ave, Munster, IN 46321-2023 | 2008-09-23 |
| 1518050731 | Mary Abigail Wagner | Counselor | 5569 Broadcast Ct, Lakewood Ranch, FL 34240-8472 | 2006-10-02 |
| 1043251358 | Mary Jo Wagner | Occupational Therapist | 54 Parramatta Rd, Beverly, MA 01915-1970 | 2006-06-09 |
| 1427040203 | Mary K. Wagner | Pediatrics | 1414 N Vercler Rd, Building 1, Spokane Valley, WA 99216-1092 | 2005-08-18 |
| 1497397616 | Mary Beth Wagner | Massage Therapist | 1400 Executive Pkwy Ste 220, Eugene, OR 97401-7109 | 2019-10-09 |
| 1902329394 | Mary Elizabeth Wagner | Speech-Language Pathologist | 525 W Oakland Ave, Johnson City, TN 37604-1672 | 2017-07-18 |
| 1558896233 | Mary A. Wagner | Registered Nurse | 6460 Harrison Ave, Cincinnati, OH 45247 | 2017-05-01 |
| Street Address |
330 WALLER AVE STE 275 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40504-2930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295720399 | Donald Gregory Pitts | Occupational Therapist | 330 Waller Ave Ste 275, Lexington, KY 40504-2930 | 2005-09-14 |
| 1780233825 | Megan Hayley Decandia | Occupational Therapist | 330 Waller Ave Ste 275, Lexington, KY 40504-2930 | 2019-09-11 |
| 1659855724 | Christian Gryszowka | Occupational Therapist | 330 Waller Ave Ste 275, Lexington, KY 40504-2930 | 2018-09-24 |
| 1154804193 | Madison Cook | Occupational Therapist | 330 Waller Ave Ste 275, Lexington, KY 40504-2930 | 2018-09-14 |
| 1366924839 | Luke Nolte | Occupational Therapist | 330 Waller Ave Ste 275, Lexington, KY 40504-2930 | 2018-08-31 |
| 1083127781 | Hillary Klingel | Occupational Therapist | 330 Waller Ave Ste 275, Lexington, KY 40504-2930 | 2017-11-16 |
| 1982115655 | Nichole E Payne | Occupational Therapist | 330 Waller Ave Ste 275, Lexington, KY 40504-2930 | 2017-10-20 |
| 1437689585 | Melba G Custer | Occupational Therapist | 330 Waller Ave Ste 275, Lexington, KY 40504-2930 | 2017-06-12 |
| 1083158844 | Tor Aleksander Ulla | Occupational Therapist | 330 Waller Ave Ste 275, Lexington, KY 40504-2930 | 2016-12-13 |
| 1962855254 | Commonwealth Hand Therapy | Physical Therapist | 330 Waller Ave Ste 275, Lexington, KY 40504 | 2016-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809953 | Michael Jason Blocker | Registered Nurse | 1 St Hoseph Drive, Lexington, KY 40504 | 2020-04-09 |
| 1841842010 | Jessica Brooke Castleberry | Counselor | Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 | 2019-07-09 |
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1366962474 | Jessica Hope King | Dentist | 1330 Harrodsburg Road, Lexington, KY 40504 | 2017-06-21 |
| 1255861076 | Mary Elizabeth Bailey | Dentist | 1330 Harrodsburg Rd, Lexington, KY 40504 | 2017-06-14 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1578847554 | Linda W Mcdaniel | Pharmacist | 2181 Harrodsburg Road, Lexington, KY 40504 | 2011-10-07 |
| 1578844197 | Amber Kincaid Ballard | Nurse Practitioner | Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 | 2011-09-09 |
| 1104118124 | Harry W Tenfelde IIi | Pharmacist | 2284 Versailles Rd., Lexington, KY 40504 | 2011-05-10 |
| 1831495506 | Horizon Headache Center, Pllc | Physical Therapist | 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 | 2011-01-28 |
| Find all providers in zip 40504 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508475500 | Tammy Hicks | Occupational Therapist | 701 Liberty Ridge Ln, Lexington, KY 40509-4564 | 2020-07-26 |
| 1437776895 | Lauren Michelle Chapman | Occupational Therapist | 1456 Meadowthorpe Ave Apt 2, Lexington, KY 40511-2069 | 2020-07-01 |
| 1871127910 | Marypoppins LLC | Occupational Therapist | 2384 Ice House Way, Lexington, KY 40509-8638 | 2020-02-27 |
| 1861023871 | Alicia Mitchell | Occupational Therapist | 3310 Tates Creek Rd, Lexington, KY 40502-3487 | 2020-01-29 |
| 1730727629 | Erika Watts | Occupational Therapist | 100 Tarrar Springs Road, Sped, Lexington, SC 29072 | 2019-12-11 |
| 1114561131 | Jonathan Reynolds | Occupational Therapist | 1809 Meeting St Apt 6210, Lexington, KY 40509-4592 | 2019-11-01 |
| 1548804743 | Lucas Kyle Brothers | Occupational Therapist | 401 Lewis Hargett Cir #120, Lexington, KY 40503 | 2019-10-30 |
| 1174088322 | Emily Ann Farley | Occupational Therapist | 7343 Sunset Blvd, Lexington, MI 48450-9731 | 2019-02-01 |
| 1629548219 | Leah Morgan Adekoya | Occupational Therapist | 1300 East New Circle Road Suite 150, Lexington, KY 40505 | 2018-11-27 |
| 1952870503 | Ronda Bryant Franck | Occupational Therapist | 2659 Regency Rd Ste 110, Lexington, KY 40503-2922 | 2018-11-13 |
| Find all providers in LEXINGTON | ||||
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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.