Amy Lyn Wagner, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT60136178 Issued in WA

Practice address

2820 E 53Rd Ave
Apt # 48
Spokane, WA 99223-7962

Phone

(425) 232-4797

NPI assigned

Dec 28, 2010

Last updated

Dec 28, 2010By 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

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": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1538463997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 E 53RD AVE",
            "address_2": "APT # 48",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992237962",
            "telephone_number": "425-232-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 E 53RD AVE",
            "address_2": "APT # 48",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992237962",
            "telephone_number": "425-232-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "AMY",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60136178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Jane Wafstet-Solin, LMHC
• Amber M Wagenblast, DPT
• L. Douglas Waggoner Jr., MD
• Loni Waggoner, LMP
• Jamie Ann Wagley, BSN, RN
• Ariel Linn Wells Wagner, RN
• Druscilla Isabelle Wagner
• Elise Wagner, CPC, AAC
• Hope E Wagner, RN
• Jessica Leigh Wagner, M.ED., B.S.

• Occupational Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.