PHYLLIS J WAGNER (NPI# 1770697096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770697096 |
| Entity Type | Individual |
| Full Name | PHYLLIS J WAGNER |
| Practice Address |
4635 Union Rd Cheektowaga NY 14225-1851 |
| Mailing Address |
1054 Niagara Falls Blvd North Tonawanda NY 14120-1220 |
| Practice Telephone | 7165055700 |
| Practice Fax Number | 7166339351 |
| Mailing Telephone | 7166952157 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 000798-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770609844 | Phyllis J Wagner | Pediatrics | 4 Crawford St, Cambridge, MA 02139-1624 | 2007-03-21 |
| 1609157569 | Phyllis A. Wagner | Nurse Practitioner | 3390 Sw 131st Ter, Davie, FL 33330-4618 | 2011-09-06 |
| Street Address |
4635 UNION RD |
| City | CHEEKTOWAGA |
| State | NY |
| Zip Code | 14225-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669488201 | Maria E Costello | Physical Therapist | 4635 Union Rd, Cheektowaga, NY 14225-1851 | 2006-08-01 |
| 1063028470 | Abigail Marie Puskas | Physical Therapist | 4635 Union Rd, Cheektowaga, NY 14225-1851 | 2020-09-21 |
| 1518589993 | Emily Anne Blood | Speech-Language Pathologist | 4635 Union Rd, Cheektowaga, NY 14225-1851 | 2020-05-08 |
| 1568097640 | Natalie Ann May | Speech-Language Pathologist | 4635 Union Rd, Cheektowaga, NY 14225-1851 | 2020-03-09 |
| 1558906347 | Anne Schiller | Specialist | 4635 Union Rd, Cheektowaga, NY 14225-1851 | 2019-11-15 |
| 1730723214 | Janine Marie Macdonald | Psychologist | 4635 Union Rd, Cheektowaga, NY 14225-1851 | 2019-10-29 |
| 1417507641 | Abigail Milton | Physical Therapist | 4635 Union Rd, Cheektowaga, NY 14225-1851 | 2019-09-19 |
| 1639727548 | June Ann Barrett | Specialist | 4635 Union Rd, Cheektowaga, NY 14225-1851 | 2019-09-04 |
| 1487202909 | Patricia Allan | Specialist | 4635 Union Rd, Cheektowaga, NY 14225-1851 | 2019-08-28 |
| 1720635634 | Paige Elizabeth Mcguire | Speech-Language Pathologist | 4635 Union Rd, Cheektowaga, NY 14225-1851 | 2019-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124639885 | Jennifer Marki | Specialist/Technologist | 4226 Genesee St, Suite 400, Cheektowaga, NY 14225 | 2020-08-14 |
| 1609498138 | Schulz, Adult Health Np, Pllc | Nurse Practitioner | 678 Cleveland Drive, Cheektowaga, NY 14225 | 2020-05-06 |
| 1790252914 | Jacob William Debell | Student in an Organized Health Care Education/Training Program | 3469 Harlem Road, Cheektowaga, NY 14225 | 2018-10-25 |
| 1114441284 | Michael P Gugliuzza | Emergency Medical Technician, Paramedic | 239 Westbook Dr, Cheektowaga, NY 14225 | 2017-08-01 |
| 1841720307 | Buffalo Dental Implant | Dentist | 1526 Walden Ave. Suite 600, Buffalo Dental Implant, Cheektowaga, NY 14225 | 2017-06-18 |
| 1396279741 | Jacob Habermehl | Specialist/Technologist | 67 Lynncrest Terrace, Cheektowaga, NEW YORK 14225 | 2017-04-12 |
| 1588196901 | Cha Vu | Dentist | 2521 Walden Ave, Buffalo, NY 14225 | 2017-04-03 |
| 1881040244 | Amanda Sanders | Licensed Practical Nurse | 21 Kingswood Dr, Cheektowaga, NY 14225 | 2016-05-04 |
| 1255748638 | Valerie Knowles | Licensed Practical Nurse | 3527 Harlem Road, Cheektowaga, NY 14225 | 2014-07-17 |
| 1043569585 | Mark Timothy Morreale | Optometrist | 2000 Walden Avenue, Cheektowaga, NY 14225 | 2012-08-30 |
| Find all providers in zip 14225 | ||||
| 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 |
|---|---|---|---|---|
| 1841840527 | Lauren Rose Nowicki | Occupational Therapy Assistant | 10 Caprice Dr, Cheektowaga, NY 14227-3602 | 2019-09-16 |
| 1780013326 | Mark Franczyk | Occupational Therapy Assistant | 137 Peinkofer Dr, Cheektowaga, NY 14225-2226 | 2013-11-04 |
| 1336430610 | Lynn Kirsch | Occupational Therapy Assistant | 201 Marrano Pkwy, Cheektowaga, NY 14227-3516 | 2011-04-21 |
| 1013158740 | Rebecca Smaczniak | Occupational Therapy Assistant | 78 Strasbourg Dr, Cheektowaga, NY 14227-3022 | 2009-03-09 |
| 1134369028 | Wendy Ann Mika | Occupational Therapy Assistant | 69 Clover Pl, Cheektowaga, NY 14225-3303 | 2009-03-04 |
| 1457826208 | Elizabeth Mosher | Occupational Therapy Assistant | 105 Mapleview Rd, Cheektowaga, NY 14225-1524 | 2018-10-09 |
| 1760994602 | Katelyn Rose Mazurkiewicz | Occupational Therapy Assistant | 2365 Union Rd, Cheektowaga, NY 14227-2234 | 2017-11-01 |
| 1396263265 | Laura Mack | Occupational Therapy Assistant | 1050 Maryvale Dr, Cheektowaga, NY 14225-2324 | 2017-08-31 |
| 1437429909 | Ann Veros | Occupational Therapy Assistant | 3600 Union Rd, Cheektowaga, NY 14225-5124 | 2011-12-30 |
| 1457620247 | Karen Felicetta | Occupational Therapy Assistant | 3600 Union Rd, Cheektowaga, NY 14225-5124 | 2011-12-22 |
| Find all providers in CHEEKTOWAGA | ||||
| City | CHEEKTOWAGA |
| Zip Code | 14225 |
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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.