ALEXANDRA WAGNER OTR/L
NPI 1114507415
Occupational Therapist in Astoria, NY

Active since April 11, 2021Accepts Medicare Assignment
3074 30TH ST APT 2F, ASTORIA, NY 11102(607) 206-8422 Get Directions Write a Review

NPPES record last updated: April 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alexandra Wagner Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA WAGNER OTR/L (NPI 1114507415) is an individual occupational therapist in Astoria, New York, licensed in New York (021451) and active in the NPI registry since April 2021. She is a graduate of Other (2016).

NPPES Registry Identity

NPI1114507415
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameALEXANDRA WAGNERCredential: OTR/L
Location Address3074 30TH ST APT 2FAstoria, NY 11102-2226
Mailing Address3074 30th St Apt 2fAstoria, NY 11102-2226 · (607) 206-8422
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 11, 2021
NPPES CertifiedApril 10, 2021
NPI 1114507415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in NY · 021451
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
3074 30TH ST APT 2F, Astoria, NY 11102

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alexandra Wagner Otr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012325921
PECOS Enrollment IDI20210414000486

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexandra Wagner's NPI number?

The NPI number for Alexandra Wagner is 1114507415. It was assigned to this individual provider in the NPPES registry on April 11, 2021.

Where is Alexandra Wagner located?

Alexandra Wagner practices at 3074 30th St Apt 2F, Astoria, NY 11102. The listed phone number is (607) 206-8422.

What is Alexandra Wagner's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Alexandra Wagner enrolled in Medicare?

Yes. Alexandra Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Alexandra Wagner was last updated on April 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.