Jordyn H Wagner, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5312 Issued in AL

Practice address

4715 Whitesburg Dr SE Ste 100
Huntsville, AL 35802-1632

Phone

(256) 319-8500

NPI assigned

Jun 23, 2020

Last updated

Jun 23, 2020By 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

Enrolled in AL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Encore Rehabilitation, Inc

  • Physical Therapy Clinic/Center
  • Decatur, AL
  • NPI 1003819608
  Medicare reassignment NPD
• Sportsmed Orthopaedic Specialists

  • Orthopaedic Surgery Physician
  • Huntsville, AL
  • NPI 1508947839
  Medicare reassignment NPD
• Sportsmed Orthopaedic Specialists, PC

  • Orthopaedic Surgery Physician
  • Athens, AL
  • NPI 1790826816
  NPD
• Encore Rehabilitation, Inc.

  dba Encore Coast Hand Therapy

  • Occupational Medicine Clinic/Center
  • Gulfport, MS
  • NPI 1437962313

  Occupational Therapist

  NPD
• Encore Rehabilitation Inc

  dba Encore Rehab of Athens

  • Physical Therapy Clinic/Center
  • Athens, AL
  • NPI 1861527954
  NPD (past)
• Wee Care Pediatric Therapy, LLC

  • Speech-Language Pathologist
  • Bloomingdale, GA
  • NPI 1942772975
  NPD (past)

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1871119123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 JOHNSTON ST SE STE 200",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012515",
            "telephone_number": "256-350-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 WHITESBURG DR SE STE 100",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021632",
            "telephone_number": "256-319-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Hughes Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357582238",
            "country_code": "US",
            "telephone_number": "256-319-9327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2506B Danville Rd SW Ste 200",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AL",
            "postal_code": "356034213",
            "country_code": "US",
            "telephone_number": "256-350-1990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22423 US Highway 72 Ste B",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "AL",
            "postal_code": "356132663",
            "country_code": "US",
            "telephone_number": "256-232-1221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "JORDYN",
        "middle_name": "H",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "5312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wadsworth Psychology, LLC
• Heather Wadsworth, PH.D.
• Lindsay M Waggoner, CRNA
• Deborah Jean Wagner, CRNP
• Francis M. Wagner, CRNA
• Rebecca Anne Wagner, MSN RN PMHNP BC
• Valerie Layne Wagner
• Joy Wagoner
• George B Waites, DMD
• Victor Reed Wakefield Jr., DC

• Occupational Therapist in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Occupational Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.