MRS. JODI LYNN WAGNER (NPI# 1295947778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295947778 |
| Entity Type | Individual |
| Full Name | MRS. JODI LYNN WAGNER |
| Credential | OTR |
| Practice Address |
2629 North 7th Street Sheboygan WI 53083 |
| Mailing Address |
20 South Street Plymouth WI 53073-2420 |
| Practice Telephone | 9204515000 |
| Mailing Telephone | 9208938222 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 3368-026 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750340899 | Jodi Ann Wagner | Advanced Practice Midwife | 451 Junction Road, Madison, WI 53717 | 2006-03-18 |
| Street Address |
2629 NORTH 7TH STREET |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629341748 | Wendy Marie Kirst | Licensed Practical Nurse | 2639 North 9th Street, Sheboygan, WI 53083 | 2012-02-21 |
| 1194912493 | Assisted Living Concepts Inc | Assisted Living Facility | 1231 Eisner Avenue, Sheboygan, WI 53083 | 2007-10-01 |
| 1629265350 | David P Mayer | Dentist | 2705 N 8th Street, Sheboygan, WI 53083 | 2007-09-26 |
| 1760683510 | Ginger Adams | Physical Therapy Assistant | 3431 North 13th Street, Sheboygan, WI 53083 | 2007-05-30 |
| 1306067491 | School District of Howards Grove | Local Education Agency (LEA) | 403 Audubon Road, Howards Grove, WI 53083 | 2007-05-02 |
| 1902023955 | Aurora Health Care Central, Inc. | Community/Behavioral Health | 2629 N 7th St., Sheboygan, WI 53083 | 2007-04-19 |
| 1497860498 | Charles J Gehring Jr. | Anesthesiology | 4945 Blackstock Rd, Sheboygan, WI 53083 | 2006-08-20 |
| 1760595300 | Tina Marie Ottman-boykin | Counselor | 2801 Calumet Drive, Sheboygan, WI 53083 | 2006-08-17 |
| 1588043186 | Abby M Safranski | Family Medicine | 620 S Wisconsin Dr, Howards Grove, WI 53083 | 2015-05-28 |
| 1174901615 | Adeel Pervez | Internal Medicine | 2629 N 7th St, Sheboygan, WI 53083 | 2015-05-17 |
| Find all providers in zip 53083 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427455047 | Dana Lacy | Occupational Therapist | 4228 Kadlec Dr, Sheboygan, WI 53083-1782 | 2014-11-25 |
| 1568623015 | Laura Lynn Futterer | Occupational Therapist | 3821 Kohler Memorial Dr, Sheboygan, WI 53081-3680 | 2008-06-18 |
| 1376718411 | Lauren June Minten | Occupational Therapist | 6624 Lone Oak Dr, Sheboygan, WI 53081-9102 | 2008-04-29 |
| 1841463304 | Jennifer R Jerdee | Occupational Therapist | 4308 White Oak Ln, Sheboygan, WI 53083-2178 | 2008-04-04 |
| 1952522971 | Mary E Meschler | Occupational Therapist | 2309 N 34th St, Sheboygan, WI 53083-4308 | 2007-05-01 |
| 1144359639 | Chitrod Khaykham | Occupational Therapist | 2925 S 22nd St, Sheboygan, WI 53081-6513 | 2007-03-02 |
| 1144846445 | Amanda Murphy | Occupational Therapist | 2131 S Business Dr, Sheboygan, WI 53081-5656 | 2020-06-22 |
| 1003451972 | Joshua R Luna | Occupational Therapist | 2131 S Business Dr, Sheboygan, WI 53081-5656 | 2019-11-14 |
| 1215419544 | Jayson A Haan | Occupational Therapist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2018-09-04 |
| 1265929731 | Allison Lee Radloff | Occupational Therapist | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2018-04-19 |
| Find all providers in SHEBOYGAN | ||||
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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.