MARY ANN WAGNER


Address: 9414 Ne Fourth Plain Blvd, Vancouver, WA 98662-6109
Phone: 3608925142

MARY ANN WAGNER (NPI# 1285266957) 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) 1285266957
Entity Type Individual
Full Name MARY ANN WAGNER
Practice Address 9414 Ne Fourth Plain Blvd
Vancouver
WA 98662-6109
Practice Telephone 3608925142
Enumeration Date 2020-02-10
Last Update Date 2020-02-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XP0200X Occupational Therapist
Specialization: Pediatrics 		61027876 WA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 9414 NE FOURTH PLAIN BLVD
City VANCOUVER
State WA
Zip Code 98662-6109

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184122897 Melissa Braskett Speech-Language Pathologist 9414 Ne Fourth Plain Blvd, Vancouver, WA 98662-6109 2018-01-28
1275172066 Marley Carla King Occupational Therapist 9414 Ne Fourth Plain Blvd, Vancouver, WA 98662-6109 2019-12-27
1548802515 Dustin Lee Walls Speech-Language Pathologist 9414 Ne Fourth Plain Blvd, Vancouver, WA 98662-6109 2019-10-11
1710535190 Mary Claire Sroka Occupational Therapist 9414 Ne Fourth Plain Blvd, Vancouver, WA 98662-6109 2019-08-29
1447803895 Zoe Thompson Behavior Technician 9414 Ne Fourth Plain Blvd, Vancouver, WA 98662-6109 2019-07-24
1659924363 Danielle Dominique Fastabend Behavior Technician 9414 Ne Fourth Plain Blvd, Vancouver, WA 98662-6109 2019-07-22
1245735141 Megan Alexander Occupational Therapist 9414 Ne Fourth Plain Blvd, Vancouver, WA 98662-6109 2018-03-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861024911 Hillary Ann Devore Behavior Technician 9414 Ne Fouth Plain Road, Vancouver, WA 98662 2020-02-06
1073091781 Jessica Edit Villasenor Social Worker 9800 Ne Oakview Dr, Vancouver, WA 98662 2018-08-03
1568991123 Preferred Rx Pharmacy Inc Pharmacy 10303 Ne Fourth Plain Blvd Ste 109, Vancouver, WA 98662 2017-06-07
1982058814 Nw Interventional Medicine and Orthopedic Rehab Pllc Physician Assistant 11802 Ne 65th St., Vancouver, WA 98662 2016-04-18
1942685664 Silpa Nekkalapudi Dentist 11504 Ne 119th St, Suite 100, Vancouver, WA 98662 2015-07-23
1528468261 Lidiya Chepa Pharmacist 14505 Ne Fourth Plain Boulevard, Vancouver, WA 98662 2014-08-29
1962827030 Vanessa Wulff Chiropractor 6405 Ne 116th Ave Ste 106, Vancouver, WA 98662 2014-02-26
1326484080 Precious Jewel Adult Family Home Custodial Care Facility 9707 Ne 115th Ct, Vancouver, WA 98662 2013-05-21
1457698466 Elise C Jones Counselor 4400 Ne 77th Ave., Suite 275, Vancouver, WA 98662 2013-01-10
1396096103 At Home Sleep Solutions Clinic/Center 9330 Ne Vancouver Mall Dr., Suite 202, Vancouver, WA 98662 2012-09-20
Find all providers in zip 98662

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
1639625718 Nicholas Calais Occupational Therapist 19005 Se 17th St, Vancouver, WA 98683-9735 2016-08-29
1821336736 Carol Lynn Fischer Occupational Therapist 13501 Ne 28th Street, Vancouver, WA 98682 2013-01-28
1104138973 Cara Snell Occupational Therapist 9414 Ne Fourth Plain Rd, Vancouver, WA 98662-6109 2010-07-09
1386968493 Sharron Nicole Donnelly Occupational Therapist 11320 Ne 49th St Ste 208, Vancouver, WA 98682-6547 2010-03-18
1710535190 Mary Claire Sroka Occupational Therapist 9414 Ne Fourth Plain Blvd, Vancouver, WA 98662-6109 2019-08-29
1437609880 Elisabeth Freeman Occupational Therapist 2121 Ne 139th St, Ste 200, Vancouver, WA 98686-2316 2016-10-10
1336506823 Kaleidoscope Pediatric Therapy, Pllc Occupational Therapist 7409 Ne Hazel Dell Ave, Vancouver, WA 98665-8310 2016-01-28
1982942140 Janice Flock Occupational Therapist 13501 Ne 28th St, Vancouver, WA 98682-8091 2013-01-23
1689912289 Mary Christine Locke Occupational Therapist 13501 Ne 28th St, Vancouver, WA 98682-8091 2013-01-17
1649518218 Marjorie A Kircher Occupational Therapist 13501 Ne 28th St, Vancouver, WA 98682-8091 2013-01-16
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City VANCOUVER
Zip Code 98662

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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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