JORDYN H WAGNER (NPI# 1871119123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871119123 |
| Entity Type | Individual |
| Full Name | JORDYN H WAGNER |
| Credential | OT |
| Practice Address |
4715 Whitesburg Dr Se Ste 100 Huntsville AL 35802-1632 |
| Mailing Address |
251 Johnston St Se Ste 200 Decatur AL 35601-2515 |
| Practice Telephone | 2563198500 |
| Mailing Telephone | 2563501764 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5312 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22423 Us Highway 72 Ste B, Athens, AL 356132663 | 2562321221 | |
| 2506b Danville Rd Sw Ste 200, Decatur, AL 356034213 | 2563501990 | |
| 33 Hughes Rd, Madison, AL 357582238 | 2563199327 |
| Street Address |
4715 WHITESBURG DR SE STE 100 |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35802-1632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689137366 | Sara Lang | Physical Therapist | 4715 Whitesburg Dr Se Ste 100, Huntsville, AL 35802-1632 | 2019-04-10 |
| 1558917450 | Jessica Tillman | Physical Therapist | 4715 Whitesburg Dr Se Ste 100, Huntsville, AL 35802-1632 | 2019-08-15 |
| 1467007153 | Danielle Arnette | Occupational Therapist | 4715 Whitesburg Dr Se Ste 100, Huntsville, AL 35802-1632 | 2019-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174187371 | Susan R. Bechert | Social Worker | Huntsville Psychotherapy and Counseling Services, 7540 S. Memorial Parkway, Suite W, Huntsville, AL 35802 | 2019-04-24 |
| 1932601416 | Crystal Gaskins | Nurse Practitioner | 700 Airport Road Suite D, Huntsville, AL 35802 | 2018-03-01 |
| 1073032736 | Emily Rachel Lapidus | Specialist/Technologist | 310 Devon Circle, Huntsville, AL 35802 | 2017-09-13 |
| 1467992727 | Thrive At Jones Farm | Assisted Living Facility | 2238 Cecil Ashburn Dr Se, Huntsville, AL 35802 | 2017-03-06 |
| 1922554641 | Acts Signature Community Services, Inc. | Internal Medicine | One Clubhouse Avenue, Huntsville, AL 35802 | 2016-09-01 |
| 1578018438 | Sarah Thompson | Marriage & Family Therapist | 116 Lily Flagg Rd Sw Ste D, Huntsville, AL 35802 | 2016-08-22 |
| 1124489166 | Nadine Wormsbacher | Massage Therapist | 919 Willowbrook Dr Suite D, Huntsville, AL 35802 | 2016-03-18 |
| 1962761486 | Alfred Lawrence Watson | Internal Medicine | 2112 Clubhouse Ave, Huntsville, AL 35802 | 2012-05-04 |
| 1992073449 | Susan Gosdin Weiler | Pharmacist | 2784 Carl T Jones Drive, Huntsville, AL 35802 | 2011-12-12 |
| 1518257823 | Bonnie Jo Ferguson | Pharmacist | 4096 Whitesburg Drive, Huntsville, AL 35802 | 2011-04-08 |
| Find all providers in zip 35802 | ||||
| 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 |
|---|---|---|---|---|
| 1043849904 | Joelle Walden | Occupational Therapist | 1622 Pratt Ave Ne, Huntsville, AL 35801-2474 | 2020-04-03 |
| 1164051199 | Hayley Tatom | Occupational Therapist | 284 Elkins Lk, Huntsville, TX 77340-7307 | 2020-04-02 |
| 1285094888 | Restore Therapy Services, Ltd | Occupational Therapist | 2061 Poole Drive, Huntsville, AL 35810 | 2016-02-25 |
| 1114305026 | Teresa D Foster | Occupational Therapist | 22 Elm Ridge Blvd Sw, Huntsville, AL 35824-4002 | 2015-05-12 |
| 1861831158 | Charles Evanski | Occupational Therapist | 228 Waterwood, Huntsville, TX 77320-9646 | 2013-06-19 |
| 1912343161 | Paul Wachege | Occupational Therapist | 201 Mary Dr, Huntsville, TX 77320-8113 | 2013-05-15 |
| 1396082848 | Lindsey Ann Allison | Occupational Therapist | 802 Shoney Dr Sw, Huntsville, AL 35801-5404 | 2013-01-03 |
| 1154606556 | Kimberly T Litton | Occupational Therapist | 2703 Trevor Dr, Huntsville, AL 35802-1251 | 2011-10-17 |
| 1730479460 | Melinda Spillers Bacak | Occupational Therapist | 2100 Sam Houston Avenue, Ste D, Huntsville, TX 77340-5182 | 2011-04-14 |
| 1609177443 | Toya Shae Ellis | Occupational Therapist | 1589 Baker Hwy, Huntsville, TN 37756-4131 | 2010-11-10 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35802 |
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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.