Peri Wagner, M.S.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

P87082 Issued in NY

Practice address

31-36 88TH Street
Jackson Heights, NY 11369-1415

Phone

(718) 205-1919

NPI assigned

Feb 25, 2013

Last updated

Feb 25, 2013By 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

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jackson Children's Services

  • Early Intervention Provider Agency
  • East Elmhurst, NY
  • NPI 1205061926
  NPD (past)
• Jackson Developmental Center

  • Local Education Agency (LEA)
  • East Elmhurst, NY
  • NPI 1386944965
  NPD (past)

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1811237084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 OVERLOOK TER APT 2F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100332215",
            "telephone_number": "347-504-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31-36 88TH STREET",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113691415",
            "telephone_number": "718-205-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "PERI",
        "name_prefix": "Miss",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "P87082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Vizconde
• Vizon Ny LLC
• Marlin Cristina Voity
• Neil Manhar Vora, MD
• Anthony Luciano Vucenik, PT
• Sasha Wainstein
• Avianne Waithe, D.C.
• Marc Waldman
• Walgreen Co (Walgreens #09936)
• Walgreen Co (Duane Reade #14431)

• Occupational Therapist in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.