| Mr Scott Allen Wagner, MSOTR/L | |
|
1615 Capitol Way, Bismarck, ND 58501-2218 | |
| (701) 751-0410 | |
| Not Available |
| Full Name | Mr Scott Allen Wagner |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 1615 Capitol Way, Bismarck, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538486162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 1131 (North Dakota) | Primary |
| Provider Name | Little Lights Pediatric Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083121792 PECOS PAC ID: 0143618595 Enrollment ID: O20211104000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Scott Allen Wagner, MSOTR/L 1615 Capitol Way, Bismarck, ND 58501-2218 Ph: (701) 751-0410 | Mr Scott Allen Wagner, MSOTR/L 1615 Capitol Way, Bismarck, ND 58501-2218 Ph: (701) 751-0410 |
Luke Aaron Schlichenmayer, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1051 E Interstate Ave, Bismarck, ND 58503 Phone: 701-222-8322 | |
Molly Helbling, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 300 N 7th St, Bismarck, ND 58501 Phone: 701-323-6153 | |
Jessica Kaiser, MS, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4530 Northern Sky Dr, Bismarck, ND 58503 Phone: 701-751-6336 Fax: 701-751-6337 | |
Kaylee Bruner, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1615 E Capitol Way, Bismarck, ND 58501 Phone: 701-751-0410 | |
Ms. Joelean Lowman, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 806 N Washington St, Bismarck, ND 58501 Phone: 701-355-3029 | |
Sydney Gayton, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 E Interstate Ave Ste 3, Bismarck, ND 58503 Phone: 701-751-1125 | |
Mariah Hathaway, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4501 Coleman St Ste 103, Bismarck, ND 58503 Phone: 701-751-6336 |