MS. MARCIA LYNN WAGONER (NPI# 1629552401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629552401 |
| Entity Type | Individual |
| Full Name | MS. MARCIA LYNN WAGONER |
| Practice Address |
247 Country Ct Loogootee IN 47553-5199 |
| Practice Telephone | 8122956259 |
| Mailing Telephone | 8122956259 |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
247 COUNTRY CT |
| City | LOOGOOTEE |
| State | IN |
| Zip Code | 47553-5199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720647266 | Waylee Lane Wagoner | Developmental Therapist | 247 Country Ct, Loogootee, IN 47553-5199 | 2019-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376105437 | Lindsey Brooke Gingerich | Occupational Therapist | 7231 Bledsoe Ln, Loogootee, IN 47553 | 2019-06-28 |
| 1457649857 | Divine Chiropractic LLC | Preferred Provider Organization | 404 North John F Kennedy Avenue, Loogootee, IN 47553 | 2011-07-19 |
| 1013010735 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 402 W Broadway, Loogootee, IN 47553 | 2006-09-07 |
| 1053398644 | Maureen Gutgsell | Pharmacist | Us Hwy 231 South, Loogootee, IN 47553 | 2005-12-27 |
| 1043762842 | Erin Louise Burns | Speech-Language Pathologist | 1 Loogootee Plaza, Loogootee, IN 47553 | 2016-10-27 |
| 1740360700 | Little Company of Mary Hospital of Indiana, Inc | Clinic/Center | 105 Cooper St, Loogootee, IN 47553 | 2006-10-16 |
| 1629135181 | Benoni Willard Asdell | Dentist | 229 J F Kennedy Ave, Loogootee, IN 47553-0172 | 2007-01-03 |
| 1356376594 | Philip J Sewell | Chiropractor | 1102 W Broadway, Loogootee, IN 47553-0455 | 2006-07-12 |
| 1992959852 | Philip J. Sewell, D.c. | Chiropractor | 1102 W Broadway, Loogootee, IN 47553-0455 | 2008-11-05 |
| 1912040106 | Jennifer Ann Bailey | Speech-Language Pathologist | 103 Bel Air Dr, Loogootee, IN 47553-1101 | 2007-02-15 |
| Find all providers in zip 47553 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720647266 | Waylee Lane Wagoner | Developmental Therapist | 247 Country Ct, Loogootee, IN 47553-5199 | 2019-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918757 | Alayna Kaye Gray | Developmental Therapist | 3825 S Woods Edge Bnd, Bloomington, IN 47401-8436 | 2020-09-25 |
| 1184236168 | Debbie Hargett | Developmental Therapist | 3911 Polk Rd, Boonville, IN 47601-8617 | 2020-08-20 |
| 1023620598 | Sarah C Dennis | Developmental Therapist | 1809 Columbus Blvd, Kokomo, IN 46901-1871 | 2020-08-17 |
| 1831709112 | Holly Ann Brinker | Developmental Therapist | 1302 Wallace Ave, Indianapolis, IN 46201-1844 | 2020-08-03 |
| 1245848746 | Bayley Brutus | Developmental Therapist | 3149 Congress Dr, Kokomo, IN 46902-8032 | 2020-07-21 |
| 1003431859 | Michele L Lloyd | Developmental Therapist | 975 S 650 E, Montgomery, IN 47558-5592 | 2020-06-08 |
| 1063032274 | Sharon Lynn Dalton | Developmental Therapist | 9957 S State Road 335, Pekin, IN 47165 | 2020-04-17 |
| 1457987612 | Sonya Overman | Developmental Therapist | 18241 County Road 40, Goshen, IN 46526-5447 | 2020-03-19 |
| 1144854449 | Karen M Moore | Developmental Therapist | 26191 Pocket Rd Apt 2, Batesville, IN 47006-9617 | 2020-02-25 |
| 1598397754 | Shannon Deann Belt | Developmental Therapist | 6084 N Daden Dr, Alexandria, IN 46001-9227 | 2020-02-06 |
| 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.