Joy Veronica Wagner, OTR, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 60201891 Issued in WA

Practice address

2100 E Union St
Seattle, WA 98122-2954

Phone

(612) 963-4119

NPI assigned

Aug 27, 2009

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1386877132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 26TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224916",
            "telephone_number": "612-963-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E UNION ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222954",
            "telephone_number": "612-963-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "JOY",
        "middle_name": "VERONICA",
        "name_prefix": "Ms.",
        "credential": "OTR, LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT 60190874",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60201891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyse L Wagner
• Irene Margaret Wagner, MSW
• Jeffrey Wagner
• Jennifer C Wagner, CCC-SLP
• John William Wagner, D.D.S.
• Lara Reid Wagner, M.D.
• Laura Beth Wagner, MA, LMHC
• Mark David Wagner, M.D.
• Oliver Jens Wagner, M.D.
• Silvia Aline Wagner

• Massage Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.