Rachelle Wagner, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT003702 Issued in GA

Practice address

304 E 6TH Ave
Rome, GA 30161-6000

Phone

(706) 378-9044

Fax

(706) 378-9046

NPI assigned

Nov 20, 2006

Last updated

Sep 11, 2025By 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 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Infinity Children's Services, Inc.

  • Speech-Language Pathologist
  • Rome, GA
  • NPI 1558412775

  Occupational Therapist

  NPD (past)
• Sierra Therapy Services, Inc.

  • Physical Therapist
  • Stone Mountain, GA
  • NPI 1083643449
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1841364999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GREATWOOD DR",
            "city": "WHITE",
            "state": "GA",
            "postal_code": "301842893",
            "telephone_number": "706-378-9044",
            "fax_number": "706-378-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E 6TH AVE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616000",
            "telephone_number": "706-378-9044",
            "fax_number": "706-378-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "RACHELLE",
        "name_prefix": "Ms.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "GA",
            "license": "OT003702",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT003702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342685",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10047143",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52038467",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Virtue, M.D.
• Gary Edward Voccio, MD
• Heinrich Von Ewegen, FNP-BC
• Starla Lynn Waddell
• Martha Wade
• Susan Wanjiru Waitimu, M.D.
• Rebecca Waits, RN, CDE
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0658)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5151)
• Wal-Mart Stores East, LP (Vision Center 30-0658)

• Occupational Therapist in Rome, GA
• Providers in Rome, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.