NICHOLE WAGGONER


Address: 3636 33rd St. Therapeutic Resources, Suite 500, Long Island City, NY 11106-9006
Phone: 9192155145

NICHOLE WAGGONER (NPI# 1922456391) 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) 1922456391
Entity Type Individual
Full Name NICHOLE WAGGONER
Practice Address 3636 33rd St. Therapeutic Resources
Suite 500
Long Island City
NY 11106-9006
Mailing Address 41 River Ter
Apt 4102
New York
NY 10282-1113
Practice Telephone 9192155145
Mailing Telephone 9192155145
Enumeration Date 2016-05-26
Last Update Date 2016-05-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 020455-1 NY Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 3636 33RD ST. THERAPEUTIC RESOURCES
SUITE 500
City LONG ISLAND CITY
State NY
Zip Code 11106-9006

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700492303 Faizal Hussein Physical Therapist 3244 31st Street, Queens, NY 11106 2020-09-18
1730706086 Stephanie J Coleman Counselor Enable My Child, 3545 28 St, Astoria, NY 11106 2020-07-02
1144870056 Theresa Pizinger Nurse Practitioner 3157 31st St, Phf, Long Island City, NY 11106 2019-09-13
1881164564 Adam Christopher Maslowski Social Worker 34-11 Vernon Blvd., Long Island City, NY 11106 2018-11-26
1730675273 Astoria Dental Broadway Dentist 31-72 31st St, Suite #1, Astoria, NY 11106 2018-07-09
1225552037 Joslynn Ramos Social Worker 14-15 Broadway, Astoria, NY 11106 2017-08-02
1790208791 Sheilla Jean Baptiste Hadid Prevention Professional 34 59 Vernon Blvd Apt 1f, Astoria, NY 11106 2017-07-21
1396267225 Serena Cisneros Counselor 34-25 Vernon Blvd, Long Island City, NY 11106 2017-07-12
1538689302 Dara Michelle Lazar Massage Therapist 14-17 31st Avenue, Apt 2b, Astoria, NY 11106 2017-06-22
1093241143 Kimlong Chan Student in an Organized Health Care Education/Training Program 2320 31st Avenue, Astoria, NY 11106 2017-05-11
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831716323 South Occupational Therapy Services, P.C. Occupational Therapist 1-50 50th Avenue, Apt 3806, Long Island City, NY 11101 2020-06-30
1215593967 Melissa Joy Neagles Occupational Therapist 150 50th Ave Apt 1002, Long Island City, NY 11101-6073 2019-05-17
1013405232 Connie Sehee Jung Occupational Therapist 2703 42nd Rd Apt 17b, Long Island City, NY 11101-4138 2018-04-23
1649792599 Hsin-fu Chen Occupational Therapist 4212 28th St Apt 21c, Long Island City, NY 11101-6177 2017-07-12
1144751207 Nohora Guzman Occupational Therapist 4540 Center Blvd, Apt 309, Long Island City, NY 11109-5792 2017-03-21
1437693454 Lee Ann Westover Occupational Therapist 4744 Vernon Blvd Apt 3l, Long Island City, NY 11101-5553 2016-12-09
1063865582 Emily Bolan Occupational Therapist 1111 44th Rd Ste 402, Long Island City, NY 11101-5115 2016-07-20
1669822680 Linda Chen Occupational Therapist 2811 Queens Plz N Rm 510, Long Island City, NY 11101-4008 2016-06-21
1730534884 Occupational Therapy Concept P.c Occupational Therapist 33-10 Queens Blvd, Suite 301, Long Island City, NY 11101-2302 2016-04-26
1508210584 Ah-hyun Kim Occupational Therapist 3416 42nd St, Apt 3a, Long Island City, NY 11101-1248 2016-04-15
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Competitor

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City LONG ISLAND CITY
Zip Code 11106

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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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