Kristi Wagner, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

202675 Issued in MN

Practice address

20288 Highway 15 N Ste 100
Hutchinson, MN 55350-5685

Phone

(320) 587-2326

NPI assigned

Apr 18, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1346937729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20288 HIGHWAY 15 N STE 100",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553505685",
            "telephone_number": "320-587-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20288 HIGHWAY 15 N STE 100",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553505685",
            "telephone_number": "320-587-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "KRISTI",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MN",
            "license": "202675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Douglas Vanlaere, DPT
• Deanne Vanvleet, RN
• Cleone Vasek
• Sheri Fay Vliet, LMFT
• Jadalyn Lane Wagner, OTD
• Wal-Mart Stores, Inc.
• Heather Dawn Walburg, MAC
• Lori Waldera, C.N.M, F. N. P
• Walgreen Co
• Gordon Douglas Walker, M.D.

• Occupational Therapy Assistant in Hutchinson, MN
• Providers in Hutchinson, MN by specialty
• Occupational Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.