Active NPI
Sharon Wagener Zimpfer
- Mental Health Occupational Therapist
- Buffalo, NY
National Provider Identifier
1467566760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Occupational Therapist
- License
- 008901
- Practice address
- 400 Forest Ave
Buffalo, NY 14213-1207 - Phone
- (716) 816-2232
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 008901-1 | NY | |
| Mental Health Occupational Therapist | 225XM0800X | 008901 | NY | Primary |
Addresses
Primary practice location
400 Forest Ave
Buffalo, NY 14213-1207
Mailing address
11 Richmond Ave
Lancaster, NY 14086-3028
Phone (716) 816-2232
Other practice location 1
4635 Union Rd
Cheektowaga, NY 14225-1851
Phone (716) 505-5700
Other names 1
- Sharon L Wagener
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008901-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspire Wny | Past | Accepting new patients | |
| Aspire Wny | Past | Accepting new patients |
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.
-
- Early Intervention Provider Agency
- Cheektowaga, NY
- NPI 1386905115
-
- Early Intervention Provider Agency
- Cheektowaga, NY
- NPI 1790031201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566172800000",
"number": "1467566760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 RICHMOND AVE",
"city": "LANCASTER",
"state": "NY",
"postal_code": "140863028",
"telephone_number": "716-816-2232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 FOREST AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142131207",
"telephone_number": "716-816-2232"
}
],
"practiceLocations": [
{
"address_1": "4635 Union Rd",
"address_purpose": "LOCATION",
"city": "Cheektowaga",
"state": "NY",
"postal_code": "142251851",
"country_code": "US",
"telephone_number": "716-505-5700",
"fax_number": "716-633-9351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIMPFER",
"first_name": "SHARON",
"middle_name": "WAGENER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2019-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "008901-1",
"primary": false
},
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "NY",
"license": "008901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHARON",
"last_name": "WAGENER",
"middle_name": "L",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.