KRISTY E WAGNER (NPI# 1750673513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750673513 |
| Entity Type | Individual |
| Full Name | KRISTY E WAGNER |
| Other Name | KRISTY E REINERT |
| Credential | COTA |
| Practice Address |
225 Memorial Drive Berlin WI 54923 |
| Mailing Address |
6709 Whitetail Drive Winneconne WI 54986-8717 |
| Practice Telephone | 9203615534 |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 4761027 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700940830 | Kristy Michelle Wagner | Physician Assistant | 1940 Alcoa Hwy, Suite 120, Knoxville, TN 37920-2244 | 2006-12-21 |
| Street Address |
225 MEMORIAL DRIVE |
| City | BERLIN |
| State | WI |
| Zip Code | 54923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942280821 | Dina N Nelson | Nurse Anesthetist, Certified Registered | 225 Memorial Drive, Anesthesia Dept, Berlin, WI 54923 | 2006-01-18 |
| 1376718692 | Mary F. Guell | Physical Therapist | 225 Memorial Drive, Rehab Department, Berlin, WI 54923 | 2008-04-28 |
| 1760413777 | Thedacare Medical Center - Berlin, Inc. | General Acute Care Hospital | 225 Memorial Drive, Berlin, WI 54923-1243 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910067 | Mary Ellen F Pumper | Pharmacist | 861 County Rd F, Berlin, WI 54923 | 2020-10-21 |
| 1962020792 | Brown Wilcox Trustees, Inc. | Home Health | 347 East Huron Street, Berlin, WI 54923 | 2020-07-08 |
| 1083050942 | Veterinary Clinic Berlin/ripon | Veterinarian | W1915 Cty Road F, Berlin, WI 54923 | 2013-05-20 |
| 1114078243 | David Earl Johanknecht | Optometrist | 269 Memorial Dr, Suite 103, Berlin, WI 54923 | 2007-01-16 |
| 1043314677 | William Harold Hastreiter | Dentist | 102 W Huron St, Berlin, WI 54923 | 2006-09-12 |
| 1699725333 | Kurt Alan Zemke | Dentist | 280 South Church St, Berlin, WI 54923 | 2006-05-11 |
| 1679574453 | Craig Batley | Family Medicine | W832 Hwy 91, Suite 3, Berlin, WI 54923 | 2005-08-03 |
| 1477043313 | Lina D Ramos | Registered Nurse | 225 Memorial Dr, Berlin, WI 54923 | 2018-05-16 |
| 1760887392 | Waushara Dental Associate Sc | Dentist | 322 Broadway, Berlin, WI 54923 | 2014-10-24 |
| 1700043205 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 225 Memorial Dr, Berlin, WI 54923 | 2008-05-21 |
| Find all providers in zip 54923 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346613254 | Emily Hackney | Occupational Therapy Assistant | W1991 E River Rd, Berlin, WI 54923-9455 | 2015-11-02 |
| 1396020830 | Erin R Record | Occupational Therapy Assistant | 2 Penders Ct, Berlin, MD 21811-1462 | 2011-10-17 |
| 1538472238 | Liane Densmore | Occupational Therapy Assistant | 164 Green Hollow Road, Berlin, NY 12022 | 2010-07-22 |
| 1760605828 | Angela Dawn Emm | Occupational Therapy Assistant | 35 Burley St, Berlin, MD 21811-1225 | 2007-04-10 |
| 1336609965 | Jessica Lynn Woy | Occupational Therapy Assistant | 1404 Hay St, Berlin, PA 15530-1455 | 2019-03-20 |
| 1437606373 | Sherry Lynn Reinsbach | Occupational Therapy Assistant | 225 Memorial Dr, Berlin, WI 54923-1243 | 2016-09-08 |
| 1033535232 | Karen J Holmes | Occupational Therapy Assistant | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2014-03-12 |
| 1396183471 | Beth Wise | Occupational Therapy Assistant | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2013-06-11 |
| 1023347036 | Emily Anne Rademacher | Occupational Therapy Assistant | 225 Memorial Dr, Berlin, WI 54923-1243 | 2009-12-22 |
| 1417020652 | Mylene Mort | Occupational Therapy Assistant | 1404 Hay St, Berlin, PA 15530-1455 | 2006-11-16 |
| Find all providers in BERLIN | ||||
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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.