Alexis Nicole Wagner, is a medicare enrolled "Occupational Therapist" provider in Northwood, Ohio. She graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice The Opti-health Group Inc and her current practice location is
1830 S Coy Rd, Northwood, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 913-9099.
Alexis Nicole Wagner is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114692134.
Healthcare Provider's Profile
| Full Name | Alexis Nicole Wagner |
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| Gender | Female |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 5 Years |
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| Location | 1830 S Coy Rd, Northwood, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Alexis Nicole Wagner graduated from medical school in 2021
NPI Data:
- NPI Number: 1114692134
- Provider Enumeration Date: 08/11/2021
- Last Update Date: 11/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 2365928868
- Enrollment ID: I20260114004064
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| The Opti-health Group Inc | 2264417716 | 14 |
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
enrolled with medicare and thus, if eligible, can 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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