Jane Adams Vagstad, O.T.R.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0001840 Issued in WA

Practice address

364 Catherine St Apt F3
Walla Walla, WA 99362-3050

Phone

(509) 525-9578

NPI assigned

Oct 18, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jane Adams Vagstad Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1962691659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 CATHERINE ST APT F3",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623050",
            "telephone_number": "509-525-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 CATHERINE ST APT F3",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623050",
            "telephone_number": "509-525-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAGSTAD",
        "first_name": "JANE",
        "middle_name": "ADAMS",
        "credential": "O.T.R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "0001840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "VAGSTAD",
            "middle_name": "ADAMS",
            "credential": "OTR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Occupational Therapist in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.