KELSEY WAGNER (NPI# 1801269543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801269543 |
Entity Type | Individual |
Full Name | KELSEY WAGNER |
Practice Address |
4754 W 50 N Rensselaer IN 47978-8557 |
Mailing Address |
35 Executive Dr Ste 5 Lafayette IN 47905-4881 |
Practice Telephone | 2198633787 |
Mailing Telephone | 7654468300 |
Enumeration Date | 2015-11-03 |
Last Update Date | 2020-07-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
31006833A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538647631 | Kelsey Leigh Wagner | Physician Assistant | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2018-07-31 |
Street Address |
4754 W 50 N |
City | RENSSELAER |
State | IN |
Zip Code | 47978-8557 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679710107 | Gordon P. Bausman | Dentist | 210 N. Front St., Rensselaer, IN 47978 | 2009-01-21 |
1669534962 | Stuart A Sandler | Family Medicine | 919 Grace Street, Rensselaer, IN 47978 | 2006-12-14 |
1225103146 | Jerry Lynn Markley | Chiropractor | 311 Drexel Parkway, Suite # 1, Rensellaer, IN 47978 | 2006-11-24 |
1538262225 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 107 N Cullen St, Rensselaer, IN 47978 | 2006-09-07 |
1609477793 | Donald Lowell Rusk | Pharmacist | Walmart, 905 S College Ave, Rensselaer, IN 47978 | 2020-11-04 |
1235689480 | Jasper County After Hours Urgent Care Inc | Clinic/Center | 716 S College Ave, Rensselaer, IN 47978 | 2016-10-12 |
1407230501 | Grainne O' Malley | Internal Medicine | 118 W Drexel Pkwy, Rensselaer, IN 47978 | 2015-07-17 |
1972916997 | Joseph Thomas Varnau | Family Medicine | 1104 E Grace St, Rensselaer, IN 47978 | 2014-06-06 |
1477812956 | Kirk Jihyon Pak | Internal Medicine | 1104 E Grace St, Rensselaer, IN 47978 | 2012-05-03 |
1104197326 | Julian Ungar-sargon Md Phd | Pain Medicine | 123 S Mckinley Ave, Rensselaer, IN 47978 | 2012-01-19 |
Find all providers in zip 47978 |
Taxonomy Code | 225XP0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
Specialization | Pediatrics |
Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144474693 | Peter Patrick Martin | Occupational Therapist | 24 Oak Street, Rensselaer, NY 12144 | 2008-11-11 |
1275770588 | Dawn Marie Osuch | Occupational Therapist | 50 Elm St, Rensselaer, NY 12144-2311 | 2009-01-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104476308 | Shiloh Dallas Lee | Occupational Therapist | 651 S Jackson St, Frankfort, IN 46041-3029 | 2019-09-19 |
1477115160 | Daniel Martin | Occupational Therapist | 900 N Ford Rd, Zionsville, IN 46077-1199 | 2019-07-02 |
1831667765 | Unnati Jain | Occupational Therapist | 1639 W Turtle Creek Dr, South Bend, IN 46637-5660 | 2018-11-08 |
1609365535 | Allison Lee Antolin | Occupational Therapist | 21 South Park Blvd., Suite 21, Greenwood, IN 46143-8838 | 2018-05-07 |
1154821536 | Macy Toon | Occupational Therapist | 3215 E Thompson Rd, Indianapolis, IN 46227-6682 | 2018-02-13 |
1164951836 | Allison Lynn Allen | Occupational Therapist | 7326 Wind Dance Pkwy, Greenville, IN 47124-9554 | 2017-06-07 |
1447783816 | Kelly Mccollum | Occupational Therapist | 7506 Covington Hollow Ln, Fort Wayne, IN 46804-6152 | 2017-04-04 |
1215399779 | Naomi Matanick | Occupational Therapist | 7638 Island Club Dr, Apt N, Indianapolis, IN 46214-4167 | 2016-03-24 |
1861875825 | Melanie Witkowski | Occupational Therapist | 15915 Concert Way, Noblesville, IN 46060-7956 | 2015-07-08 |
1629463161 | Kelly A. Donley & Associates L.L.C. | Occupational Therapist | 6239 Washington Blvd, Indianapolis, IN 46220-1828 | 2015-04-01 |
Find all providers with the same taxonomy |
City | RENSSELAER |
Zip Code | 47978 |
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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.