Sarah Anne Wagner, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

61132181 Issued in WA

Practice address

107 1St St N
Yelm, WA 98597-7718

Phone

(360) 458-1900

NPI assigned

Mar 17, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Sarah Anne Bodine Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1093390353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7418 223RD AVENUE CT E",
            "city": "BUCKLEY",
            "state": "WA",
            "postal_code": "983217453",
            "telephone_number": "253-307-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 1ST ST N",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985977718",
            "telephone_number": "360-458-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "SARAH",
        "middle_name": "ANNE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "61132181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "BODINE",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chelsea Dawn Unruh, MD
• Amber Dawn Valentine, LMP
• Jennifer Marie Vawter
• Vision Care Associates PLLC (Yelm Vision Clinic)
• Hannah Kristine Vuong, MD
• Wal-Mart Stores, Inc. (Vision Center 30-3705)
• Louis Walker
• Walmart Inc. (Walmart Pharmacy 10-3705)
• Sara Ward, LMP
• Waterfalls Longevity Center PLLC

• Occupational Therapist in Yelm, WA
• Providers in Yelm, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.