Alexandra Wagner, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

021451 Issued in NY

Practice address

3074 30TH St Apt 2F
Astoria, NY 11102-2226

Phone

(607) 206-8422

NPI assigned

Apr 11, 2021

Last updated

Apr 11, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Link Home Therapy Services of Ny-PT OT SLP PLLCGroup PAC ID 2466704713, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Link Home Therapy Services of Ny-PT OT SLP PLLC

  • Physical Therapy Clinic/Center
  • Valley Stream, NY
  • NPI 1942782966
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1618099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618099200000",
    "number": "1114507415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3074 30TH ST APT 2F",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022226",
            "telephone_number": "607-206-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3074 30TH ST APT 2F",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022226",
            "telephone_number": "607-206-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ALEXANDRA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-11",
        "last_updated": "2021-04-11",
        "certification_date": "2021-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "021451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alexandra.wagner@yu.edu",
            "affiliation": "N",
            "address_1": "3074 30th St Apt 2F",
            "city": "Astoria",
            "state": "NY",
            "country_code": "US",
            "postal_code": "111022226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tina Vournas, PHARMD
• VRT Consulting LLC
• Mahija Vucetovic, RN, FNP, BSN, MSN
• Lisa Marie Vulpi, M.A. CCC-SLP
• Rachana Waghela, DDS
• Nikhil Waingankar, M.D.
• Nadege Kele Waithe, MSW
• Zarabeth Waldman
• Walgreen Co (Walgreens #19794)
• Walgreen Co (Rite Aid)

• Occupational Therapist in Astoria, NY
• Providers in Astoria, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.