Alexis Nicole Wagner

Individual provider Active NPI Occupational Therapist · Northwood, OH

NPI 1114692134 · NPPES record last updated Nov 24, 2025

Key facts

NPI
1114692134
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
Practice address
1830 S Coy Rd
Northwood, OH 43619-1616
Phone
(419) 913-9099
NPI assigned
Aug 11, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Opti-Health Group Inc (12 clinicians)

Practice addresses (Care Compare)

1725 Western Ave
Suite B
Findlay, OH 45840-1390
Phone (419) 422-5526

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260114004064 OH Practitioner - Physical Therapist in Private Practice 2365928868 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
The Opti-Health Group Inc Current
since Sep 27, 2025
Accepting new patients
Opti-Health Group Inc Current
since Sep 27, 2025
Accepting new patients

Locations

1725 Western Ave
Ste B
Findlay, OH 45840
Phone (419) 422-5526

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Yes

Addresses

Primary practice location

1830 S Coy Rd
Northwood, OH 43619-1616

Mailing address

6850 Solether Rd
Cygnet, OH 43413-9702
Phone (419) 913-9099

Other names

  • Alexis Heldt Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 24, 2025.

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1114692134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 SOLETHER RD",
            "city": "CYGNET",
            "state": "OH",
            "postal_code": "434139702",
            "telephone_number": "419-913-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 S COY RD",
            "city": "NORTHWOOD",
            "state": "OH",
            "postal_code": "436191616",
            "telephone_number": "419-913-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ALEXIS",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "HELDT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Northwood, OH

All providers in Northwood, OH · Occupational Therapist in Ohio

Sources for this page

Verify at the official NPI Registry.