SANDRA M WAGONER (NPI# 1518017797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518017797 |
| Entity Type | Individual |
| Full Name | SANDRA M WAGONER |
| Credential | OT |
| Practice Address |
410 Albemarle Sq Charlottesville VA 22901-7400 |
| Mailing Address |
Po Box 1583 Charlottesville VA 22902-1583 |
| Practice Telephone | 4348174278 |
| Mailing Telephone | 4346547794 |
| Mailing Fax Number | 4346547752 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2010-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
0119000123 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
410 ALBEMARLE SQ |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22901-7400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649232570 | Kimberly Sonkin Thruston | Occupational Therapist | 410 Albemarle Sq, Charlottesville, VA 22901-7400 | 2006-04-05 |
| 1073003638 | Physical Therapy At Acac | Physical Therapist | 410 Albemarle Sq, Charlottesville, VA 22901-7400 | 2018-05-18 |
| 1649550625 | Allison Teresa Shearer | Occupational Therapist | 410 Albemarle Sq, Charlottesville, VA 22901-7400 | 2011-08-23 |
| 1780917211 | Martha P Craddock | Occupational Therapist | 410 Albemarle Sq, Charlottesville, VA 22901-7400 | 2009-09-16 |
| 1598932329 | Susan B Greene | Occupational Therapist | 410 Albemarle Sq, Charlottesville, VA 22901-7400 | 2008-05-12 |
| 1023101870 | Physical Therapy At Acac | Occupational Therapist | 410 Albemarle Sq, Charlottesville, VA 22901 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641501 | John Mccord | Speech-Language Pathologist | English Meadows, 1220 Crozet Ave, Crozet, VA 22901 | 2020-05-20 |
| 1922566017 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 27 Discovery Dr, Bluffton, SC 22901 | 2019-03-07 |
| 1477011872 | Courtney Dyan Bonilla | Counselor | 633 Berkmar Circle, Charlottesville, VA 22901 | 2019-03-05 |
| 1558855346 | Dana Scott | Counselor | 696 Berkmar Cir Ste 3b, Charlottesville, VA 22901 | 2018-06-15 |
| 1043725336 | M Clinic, LLC | Internal Medicine | 406 Albemarle Square, Charlottesville, VA 22901 | 2017-12-08 |
| 1033620380 | Cheryl K Cottrell | Counselor | 875 East Rio Court, Charlottesville, VA 22901 | 2017-10-13 |
| 1114389640 | Heather Lorin Broach | Physical Therapist | 2331 Seminole Ln Ste 103, Charlottesville, VA 22901 | 2016-03-23 |
| 1649669904 | Costco Wholesale Corporation | Pharmacy | 3171 District Ave, Charlottesville, VA 22901 | 2015-01-09 |
| 1083988778 | Melissa Stanley | Nurse Practitioner | 1356 River Rd, Charlottesville, VA 22901 | 2012-02-28 |
| 1982977633 | Jea Catherine Brickwedde | Specialist | 716 Rio Rd W, Fa, Charlottesville, VA 22901 | 2012-02-10 |
| Find all providers in zip 22901 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649232570 | Kimberly Sonkin Thruston | Occupational Therapist | 410 Albemarle Sq, Charlottesville, VA 22901-7400 | 2006-04-05 |
| 1780917211 | Martha P Craddock | Occupational Therapist | 410 Albemarle Sq, Charlottesville, VA 22901-7400 | 2009-09-16 |
| 1598932329 | Susan B Greene | Occupational Therapist | 410 Albemarle Sq, Charlottesville, VA 22901-7400 | 2008-05-12 |
| 1023101870 | Physical Therapy At Acac | Occupational Therapist | 410 Albemarle Sq, Charlottesville, VA 22901 | 2006-10-02 |
| 1205809506 | Physical Therapy At Acac | Occupational Therapist | 504 Albemarle Sq, Charlottesville, VA 22901-7405 | 2006-02-08 |
| 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 | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22901 |
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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.