KELSEY WAGNER


Address: 4754 W 50 N, Rensselaer, IN 47978-8557
Phone: 2198633787

KELSEY WAGNER (NPI# 1801269543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Providers KELSEY WAGNER

NPI Name Taxonomy Address Enumeration
1538647631 Kelsey Leigh Wagner Physician Assistant 214 E 23rd St, Cheyenne, WY 82001-3748 2018-07-31

Office Location

Street Address 4754 W 50 N
City RENSSELAER
State IN
Zip Code 47978-8557

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 225XP0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Pediatrics

Taxonomy Definition

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:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Specialized Knowledge and Skills Paper: Occupational Therapy Practice in the Neonatal Intensive Care Unity (2006); AOTA Fact Sheets: Children and the Tsunami, OT for Children Birth to 3 Years of Age, OT's Role with Autism, OT in Educational Settings Under the Individuals with Disabilities Education Act, Transforming Caseload to Workload in School Based and Early Intervention OT Services, OT in Preschool Settings.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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City RENSSELAER
Zip Code 47978

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Dataset Information

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.

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