ELISE MARIE WAGNER


Address: 23 Hunt St, Bristol, IL 60512-2003
Phone: 6305534383

ELISE MARIE WAGNER (NPI# 1144710997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144710997
Entity Type Individual
Full Name ELISE MARIE WAGNER
Practice Address 23 Hunt St
Bristol
IL 60512-2003
Mailing Address 321 Spring St
Batavia
IL 60510-2321
Practice Telephone 6305534383
Mailing Telephone 8159318524
Enumeration Date 2018-05-17
Last Update Date 2018-05-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 056009322 IL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers ELISE WAGNER

NPI Name Taxonomy Address Enumeration
1215173729 Elise Melanie Wagner Speech-Language Pathologist 333 E 41st St, #1d, New York, NY 10017-5956 2009-01-05
1760957310 Elise Wagner Counselor 3754 W Indian Trail Rd, Spokane, WA 99208-4700 2018-10-10

Office Location

Street Address 23 HUNT ST
City BRISTOL
State IL
Zip Code 60512-2003

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831606789 Peggy Diane Anderson Speech-Language Pathologist 23 Hunt St, Bristol, IL 60512-2003 2018-01-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366911307 Tracy Ann Snicker Behavior Technician 24 Park Ln, Bristol, IL 60512-9708 2018-11-20
1619046612 Charlene Rae Sineni Massage Therapist 113 Willow Ln, Bristol, IL 60512-9711 2006-11-06
1336218395 Thomas T Jacobs Massage Therapist 113 Willow Ln, Bristol, IL 60512-9711 2006-11-06
1740807932 Mohr Chiropractic Chiropractor 20 N Cannonball Trl, Bristol, IL 60512-9770 2020-07-03
1679566301 Dale R Metcalfe Pharmacist 9205 Corneils Rd, Bristol, IL 60512-9771 2005-08-29

Providers in the same city

NPI Name Taxonomy Address Enumeration
1053911677 Linda Rich Social Worker 100 Alba Dr, Bristol, CT 06010-2601 2020-11-01
1184224859 Jennifer Shuler Kever Counselor 10611 Sr 20, Bristol, FL 32321-3232 2020-10-30
1073113791 Jamie Lester Pharmacist 21531 Market Ctr, Bristol, VA 24202-1808 2020-10-30
1154921120 Melissa Ann Mcnutt Nurse Practitioner 941 Windsor Ave, Bristol, TN 37620-2155 2020-10-29
1093315319 Austin Tanner Cain Behavior Technician 40245 Sw Forest Road 181, Bristol, FL 32321-5325 2020-10-27
1780284109 Erika Renea Clark Occupational Therapy Assistant 12005 Teakwood Ct, Bristol, VA 24202-3531 2020-10-26
1508465808 Debbie Cooke Charpentier Occupational Therapy Assistant 22 Dwight St, Bristol, CT 06010-4105 2020-10-19
1619576949 Ileana Graf Marriage & Family Therapist 225 N Main St Ste 301, Bristol, CT 06010-4993 2020-10-19
1184222952 Lynn Nicole Ackert Counselor 499 Bath Road, Bristol, PA 19007 2020-10-14
1033726906 Carol G Duprey Physical Therapist 89 Fair St, Bristol, CT 06010-5531 2020-09-25
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447734595 Kimberley Lynne Landman Occupational Therapist 53291 Trenton Ln, Bristol, IN 46507-9020 2018-09-24
1871011478 Ashley Hayes Pereira Occupational Therapist 31 Duffield Rd, Bristol, RI 02809 2017-09-03
1922524842 Genevieve Rongione Occupational Therapist Nova Care 100 Green Lane, Bristol, PA 19007 2017-08-22
1699144634 Live Full Therapies LLC Occupational Therapist 71 Mountain St, Bristol, VT 05443-1114 2015-09-21
1417338096 Tessa Byler Occupational Therapist 10611 Nw State Road 20, Bristol, FL 32321-3441 2015-06-09
1104213214 Leigh Ann Summers Occupational Therapist 11594 Nw Summers Rd, Bristol, FL 32321-3344 2015-04-16
1164817508 Sherri Lynn Brown Occupational Therapist 339 Central Dr, Bristol, TN 37620-4714 2015-04-02
1982008801 Matthew Beaudoin Occupational Therapist 222 Aldbourne Dr, Bristol, CT 06010-2396 2014-10-21
1073863858 Tracey Chitwood Occupational Therapist 452 Brookwood Dr, Bristol, TN 37620-2813 2012-09-19
1033435391 Michelle Khalsa Occupational Therapist 2283 Seabird Dr, Bristol, PA 19007-5220 2010-04-12
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Competitor

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City BRISTOL
Zip Code 60512

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Dataset Information

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.

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