Kathryn Ann Wagner, MS, OTR

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

004236-1 Issued in NY

Practice address

6572 Powers Rd
Orchard Park, NY 14127-4804

Phone

(716) 818-2800

NPI assigned

Nov 4, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1255618211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6572 POWERS RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141274804",
            "telephone_number": "716-818-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6572 POWERS RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141274804",
            "telephone_number": "716-818-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "004236-1",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "004236-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Charles Vogan, M.D.
• Breanna Nicole Voigt, RPA-C
• Deborah Angeline Vokes, OTR
• Paul Michael Volansky Jr., DDS
• Jeremy Voorhees
• Stephanie Wagner
• Colleen Wahl, PTA
• Amanda L Walczak, RPA
• Katherine Lee Walczyk, NP
• Walgreen Co

• Local Education Agency (LEA) in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Local Education Agency (LEA) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.