MS. KATHLEEN M WAGNER (NPI# 1518292515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518292515 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN M WAGNER |
| Credential | OTR/L |
| Practice Address |
9129 Monroe Rd Suite 100 Charlotte NC 28270-2429 |
| Mailing Address |
9129 Monroe Rd Suite 100 Charlotte NC 28270 |
| Practice Telephone | 7048473911 |
| Practice Fax Number | 7048472033 |
| Mailing Telephone | 7048473911 |
| Mailing Fax Number | 7048472033 |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 6987 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | OCCUPATIONAL THERAPY LICENSE # | 6987 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982969754 | Kathleen Ann Wagner | Counselor | 145 Emerald Ln, Fayetteville, GA 30214-4234 | 2012-07-09 |
| 1417147984 | Kathleen J. Wagner | Social Worker | 3021 6th Avenue North, Suite 106, Billings, MT 59101-2223 | 2007-07-30 |
| 1952342933 | Kathleen Therese Wagner | Family Medicine | 4920 W Lone Mountain Rd, Las Vegas, NV 89130 | 2006-06-09 |
| 1841728581 | Kathleen Wagner | Speech-Language Pathologist | 1935 County Road B2 W Ste 100, Roseville, MN 55113-2722 | 2017-05-25 |
| 1700210176 | Kathleen Wagner | Social Worker | 1332 Pickens St, Columbia, SC 29201-3430 | 2013-08-21 |
| 1871879452 | Kathleen Marie Wagner | Occupational Therapy Assistant | 3291 S Thompson St Ste C103, Springdale, AR 72764-7343 | 2011-10-27 |
| 1588965354 | Kathleen Wagner | Licensed Practical Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2010-11-10 |
| 1487822011 | Kathleen Q. Wagner | Physical Therapist | 2829 Lititz Pike, Lancaster, PA 17601-3321 | 2008-02-17 |
| 1740397041 | Kathleen Mary Wagner | Nurse Practitioner | 1223 Gateway Drive, Melbourne, FL 32901-2607 | 2006-08-23 |
| 1639180110 | Kathleen Wagner | Clinical Nurse Specialist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2006-08-10 |
| Street Address |
9129 MONROE RD SUITE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28270-2429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073574109 | Elizabeth Lax Watson | Occupational Therapist | 9129 Monroe Rd, Suite 100-105, Charlotte, NC 28270-2429 | 2006-03-29 |
| 1598234841 | Tricia Murphy Warford | Speech-Language Pathologist | 9129 Monroe Rd, Charlotte, NC 28270-2429 | 2018-11-15 |
| 1194181958 | Jessica Szklut | Occupational Therapist | 9129 Monroe Rd, Suite 100-105, Charlotte, NC 28270-2429 | 2016-01-10 |
| 1740686294 | Jessica Bubbico | Speech-Language Pathologist | 9129 Monroe Rd, Suite 100, Charlotte, NC 28270-2429 | 2014-11-11 |
| 1215336367 | Pranali Somkuwar | Occupational Therapist | 9129 Monroe Rd, Suite 100-150, Charlotte, NC 28270-2429 | 2014-08-14 |
| 1407272164 | Whitney Thomas | Occupational Therapist | 9129 Monroe Rd, Suite 100-105, Charlotte, NC 28270-2429 | 2014-03-05 |
| 1215281605 | Colleen Ann Stewart | Speech-Language Pathologist | 9129 Monroe Rd, Suite 100-105, Charlotte, NC 28270-2429 | 2012-11-06 |
| 1669742045 | Sharon Albach Brown | Physical Therapist | 9129 Monroe Rd, Ste 100, Charlotte, NC 28270-2429 | 2012-01-03 |
| 1467740019 | Jaime Bevan Asack | Speech-Language Pathologist | 9129 Monroe Rd, Charlotte, NC 28270-2429 | 2011-07-18 |
| 1356403604 | Amy White Maffucci | Speech-Language Pathologist | 9129 Monroe Rd, Suite 100-105, Charlotte, NC 28270-2429 | 2006-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902837 | Gregory David Lineberger Sr. | Counselor | 1811 Sardis Road North Suite 207, Charlotte, NC 28270 | 2018-11-27 |
| 1174093751 | Lineberger Christian Counseling, Pllc | Clinic/Center | 1811 Sardis Road North, Suite 207, Charlotte, NC 28270 | 2018-11-27 |
| 1922524818 | Danielle Jean Whittington | Social Worker | 7309 Harrisonwoods Pl, Charlotte, NC 28270 | 2017-08-22 |
| 1588185508 | Mary Wennen | Social Worker | 801 Lansdowne Road, Charlotte, NC 28270 | 2017-06-29 |
| 1982089595 | Jessica Davis | Pharmacist | 1021 Morehead Medical Drive, Charlotte, NC 28270 | 2015-07-24 |
| 1275958399 | Matthews Psychological and Family Services, Pllc | Psychologist | 1811 Sardis Road North, Suite 207, Charlotte, NC 28270 | 2014-02-26 |
| 1467886978 | G Abrams R Cohen Vii PC | Dentist | 1605 Galleria Blvd., Suite 110, Charlotte, NC 28270 | 2013-09-03 |
| 1093148041 | Shari Howie | Lactation Consultant, Non-RN | 4400 Bellwood Lane, Charlotte, NC 28270 | 2013-08-14 |
| 1225477052 | L Richardson Home | Psychiatric Residential Treatment Facility | 9828 Addison Gray Lane, Charlotte, NC 28270 | 2013-06-14 |
| 1619287083 | Linda Virginia Stewart | Social Worker | 9314 Valley Road, Charlotte, NC 28270 | 2010-10-19 |
| Find all providers in zip 28270 | ||||
| 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 |
|---|---|---|---|---|
| 1588279863 | Jessica Laser | Occupational Therapist | 8819 Norway Ct, Charlotte, NC 28269-5180 | 2020-09-13 |
| 1700424397 | Elizabeth Gendernalik | Occupational Therapist | 1027 Healthcare Dr, Charlotte, MI 48813-1056 | 2019-12-15 |
| 1598302937 | Brigit Boyce | Occupational Therapist | 8848 Red Oak Blvd, Ste Aa, Charlotte, NC 28217 | 2019-12-04 |
| 1144865734 | Darci Pernoud | Occupational Therapist | 13000 S Tryon St Ste F-349, Charlotte, NC 28278-7652 | 2019-11-07 |
| 1619527199 | Paige Nicole Chester | Occupational Therapist | 206 Livingstone Falls Dr Apt 212, Charlotte, NC 28217-5247 | 2019-09-16 |
| 1528628823 | Happy Kids Therapy | Occupational Therapist | 11012 Knight Castle Dr, Charlotte, NC 28277-0212 | 2019-06-18 |
| 1861957235 | Rachel Floren Payne | Occupational Therapist | 2142 Commonwealth Ave Apt 423, Charlotte, NC 28205-5177 | 2019-02-09 |
| 1497234611 | Benchmark Physical Therapy of Nc, LLC | Occupational Therapist | 16139 Lancaster Hwy Ste 140, Charlotte, NC 28277-2033 | 2018-08-08 |
| 1023520558 | Brittany Stanton | Occupational Therapist | 2301 Crownpoint Executive Dr Ste 3, Charlotte, NC 28227-7824 | 2017-10-24 |
| 1871016816 | Monarch | Occupational Therapist | 1810 Back Creek Drive, Charlotte, NC 28213 | 2017-07-21 |
| Find all providers in CHARLOTTE | ||||
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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.