Alexis Nicole Wagner, is a
Occupational Therapist based in Northwood, Ohio. Alexis Nicole Wagner is licensed to practice in * (Not Available) (license number ) and her current practice location is
1830 S Coy Rd, Northwood, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 913-9099.
NPI number for Alexis Nicole Wagner is 1114692134 and her current mailing address is 6850 Solether Rd, Cygnet, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114692134.
Healthcare Provider's Profile
| Full Name | Alexis Nicole Wagner |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 1830 S Coy Rd, Northwood, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114692134
- Provider Enumeration Date: 08/11/2021
- Last Update Date: 11/24/2025
Medical Identifiers
Medical identifiers for Alexis Nicole Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1114692134 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alexis Nicole Wagner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Alexis Nicole Wagner, 6850 Solether Rd, Cygnet, OH 43413-9702 Ph: (419) 913-9099 | Alexis Nicole Wagner, 1830 S Coy Rd, Northwood, OH 43619-1616 Ph: (419) 913-9099 |
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