Alyssa Merrill Van Wagoner, OTR/L is a
Occupational Therapist based in Syracuse, Utah. Alyssa Merrill Van Wagoner is licensed to practice in Utah (license number 12872355-4201) and her current practice location is
3186 S 2550 W, Syracuse, Utah. She can be reached at her office (for appointments etc.) via phone at
(435) 890-0560.
NPI number for Alyssa Merrill Van Wagoner is 1437882503 and her current mailing address is 3186 S 2550 W, Syracuse, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437882503.
Healthcare Provider's Profile
| Full Name | Alyssa Merrill Van Wagoner |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 3186 S 2550 W, Syracuse, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1437882503
- Provider Enumeration Date: 07/06/2022
- Last Update Date: 02/12/2026
Medical Identifiers
Medical identifiers for Alyssa Merrill Van Wagoner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1437882503 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225X00000X | Occupational Therapist | 12872355-4201 (Utah) | 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. Alyssa Merrill Van Wagoner 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 |
Alyssa Merrill Van Wagoner, OTR/L 3186 S 2550 W, Syracuse, UT 84075-4911 Ph: (435) 890-0560 | Alyssa Merrill Van Wagoner, OTR/L 3186 S 2550 W, Syracuse, UT 84075-4911 Ph: (435) 890-0560 |
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