Sheila Wagnon, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

109327 Issued in TX

Practice address

2802 Crestridge CT
Grapevine, TX 76051-6461

Phone

(214) 929-8405

Fax

(610) 968-4493

NPI assigned

May 7, 2008

Last updated

Aug 27, 2008By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Therapy Needs LLC

  • Physical Therapist
  • Grapevine, TX
  • NPI 1497921118
  NPD (past)

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1942476197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 BROWNSTONE CT",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "76051",
            "telephone_number": "214-929-8405",
            "fax_number": "610-968-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 CRESTRIDGE CT",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516461",
            "telephone_number": "214-929-8405",
            "fax_number": "610-968-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNON",
        "first_name": "SHEILA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "109327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1930299-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Anthony Volponi III, P.A.
• Olga Vontela
• Deborah M Wade, M.A., LPC, LMFT
• Michael Wagaman
• Anastasia Wagner, PT, DPT
• Robert B Wai, MD
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-10266)
• Wal-Mart Stores Texas, LP (Vision Center 30-0266)
• Walgreen Co (Walgreens #02020)
• Daniel Paul Walker, MD

• Occupational Therapist in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.