Active NPI
Christa A. Wagner, OTR-L
- Occupational Therapist
- Elmira, NY
National Provider Identifier
1881745644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 009827-1
- Practice address
- 318 Lovell Ave
Elmira, NY 14905-1210 - Phone
- (607) 731-8974
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 009827-1 | NY | Primary |
Addresses
Primary practice location
318 Lovell Ave
Elmira, NY 14905-1210
Mailing address
318 Lovell Ave
Elmira, NY 14905-1210
Phone (607) 731-8974
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 |
|---|---|---|---|
| 009827-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363132800000",
"number": "1881745644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 LOVELL AVE",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149051210",
"telephone_number": "607-731-8974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 LOVELL AVE",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149051210",
"telephone_number": "607-731-8974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "CHRISTA",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "OTR-L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2013-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "009827-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.