KENDRA WAGNER (NPI# 1336664549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336664549 |
| Entity Type | Individual |
| Full Name | KENDRA WAGNER |
| Credential | OTD, OTR/L |
| Practice Address |
4515 Sunnyside Rd Se Salem OR 97302-3954 |
| Mailing Address |
25117 Sw Parkway Ave Ste D Wilsonville OR 97070-9697 |
| Practice Telephone | 5033708284 |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2017-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 385633 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912041666 | Kendra Wagner | Speech-Language Pathologist | 1 Delaware Pl, Seaford, DE 19973-1433 | 2007-02-16 |
| Street Address |
4515 SUNNYSIDE RD SE |
| City | SALEM |
| State | OR |
| Zip Code | 97302-3954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194987107 | Gijsbert Jeroen Laport | Physical Therapist | 4515 Sunnyside Rd Se, Salem, OR 97302-3928 | 2008-06-30 |
| 1609489459 | Kai Velazco | Registered Nurse | 4515 Sunnyside Rd Se, Salem, OR 97302-3954 | 2020-08-30 |
| 1548755887 | Britt Hazlett | Speech-Language Pathologist | 4515 Sunnyside Rd Se, Salem, OR 97302-3954 | 2018-06-28 |
| 1770076085 | Nicole Claire Ernat | Occupational Therapist | 4515 Sunnyside Rd Se, Salem, OR 97302-3954 | 2018-06-11 |
| 1902395007 | Lindsey Rose Aguilar | Occupational Therapy Assistant | 4515 Sunnyside Rd Se, Salem, OR 97302 | 2018-05-03 |
| 1609257674 | Ayla Brown | Speech-Language Pathologist | 4515 Sunnyside Rd Se, Salem, OR 97302-3928 | 2015-06-15 |
| 1073929667 | Kelsey Huber | Occupational Therapy Assistant | 4515 Sunnyside Rd Se, Salem, OR 97302-3928 | 2014-07-03 |
| 1477965465 | Courtney Hjelmervik | Occupational Therapist | 4515 Sunnyside Rd Se, Salem, OR 97302-3928 | 2014-05-23 |
| 1699198812 | Sunnyside Operations LLC | Skilled Nursing Facility | 4515 Sunnyside Rd Se, Salem, OR 97302-3928 | 2014-01-23 |
| 1992952691 | Denise Anne Kean | Occupational Therapist | 4515 Sunnyside Rd Se, Salem, OR 97302-3928 | 2008-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| 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 |
|---|---|---|---|---|
| 1336752062 | Kimberly Lawrence | Occupational Therapist | 25025 75th St, Salem, WI 53168 | 2020-08-24 |
| 1336764075 | Alexa Wilson | Occupational Therapist | 59 Stiles Rd Ste 106, Salem, NH 03079-2886 | 2020-06-09 |
| 1104456516 | Madison Phillips | Occupational Therapist | 844 Red Ln, Salem, VA 24153-2726 | 2020-01-24 |
| 1598322372 | Carey Hovis Bradley | Occupational Therapist | 4129 Alleghany Dr, Salem, VA 24153-8155 | 2019-05-28 |
| 1063972099 | Phillip King | Occupational Therapist | 225 Sunbridge Dr., Salem, WV 26426 | 2019-03-25 |
| 1922501402 | Arielle Crist | Occupational Therapist | 3000 Market St Ne Ste 507, Salem, OR 97301-1807 | 2018-03-12 |
| 1225562572 | Melissa Sue Chadbourne | Occupational Therapist | 7855 Pleasant Valley Ct, Salem, OH 44460 | 2017-04-13 |
| 1134666852 | Sharon E Provencher | Occupational Therapist | 5 Claremont Rd, Salem, MA 01970-2412 | 2017-01-20 |
| 1992162945 | Gail Hudson | Occupational Therapist | 757 Sphinx Ct Ne, Salem, OR 97301-2284 | 2016-01-21 |
| 1902278971 | Tudor Home Therapies, Inc | Occupational Therapist | 1098 N Ellsworth Ave, Suite A, Salem, OH 44460-1536 | 2015-10-29 |
| Find all providers in SALEM | ||||
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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.