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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 056009322 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
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 |
Street Address |
23 HUNT ST |
City | BRISTOL |
State | IL |
Zip Code | 60512-2003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831606789 | Peggy Diane Anderson | Speech-Language Pathologist | 23 Hunt St, Bristol, IL 60512-2003 | 2018-01-01 |
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 |
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 |
Find all providers in BRISTOL |
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 |
---|---|---|---|---|
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 |
Find all providers in BRISTOL |
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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.