Alyssa Merrill Van Wagoner, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

12872355-4201 Issued in UT

Practice address

3186 S 2550 W
Syracuse, UT 84075-4911

Phone

(435) 890-0560

NPI assigned

Jul 6, 2022

Last updated

Feb 12, 2026By the provider in NPPES

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

Other names 1

• Alyssa Merrill Former name

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": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1437882503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3186 S 2550 W",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840754911",
            "telephone_number": "435-890-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3186 S 2550 W",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840754911",
            "telephone_number": "435-890-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN WAGONER",
        "first_name": "ALYSSA",
        "middle_name": "MERRILL",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "12872355-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "MERRILL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nephi Todd
• Todd's Boarding Home
• Tate Austin Trujillo, DDS
• Rebekah Elizabeth Ulrich
• Utah Advocacy Network
• Misha Vedadi
• Viewpoint Center
• Vip Tooth Care Center LLC
• Wal-Mart Stores, Inc. (Vision Center 30-3848)
• Walgreen Co (Walgreens #02529)

• Occupational Therapist in Syracuse, UT
• Providers in Syracuse, UT by specialty
• Occupational Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.