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JENNIFER WAGSTAFF
NPI 1568919561
Specialist in Watertown, NY

Active since September 07, 2016
420 GAFFNEY DR, WATERTOWN, NY 13601(315) 836-1226 Get Directions Write a Review

NPPES record last updated: September 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Wagstaff NPPES

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

JENNIFER WAGSTAFF (NPI 1568919561) is an individual specialist in Watertown, New York, licensed in New York (969025151) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1568919561
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJENNIFER WAGSTAFF
Location Address420 GAFFNEY DRWatertown, NY 13601-1823
Mailing Address420 Gaffney DrWatertown, NY 13601-1823
Phone(315) 836-1226
Sole ProprietorNo
Enumeration DateSeptember 7, 2016
✔ NPI 1568919561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in NY · 969025151✔ Licensed in NY · 706197131✔ Licensed in NY · 527936111
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
420 GAFFNEY DR, Watertown, NY 13601
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFERSON REHABILITATION CENTER
Early Intervention Provider Agency
420 GAFFNEY DR
WATERTOWN, NY 13601
Jefferson County (315) 788-2730
JEFFERSON REHABILITATION CENTER
Early Intervention Provider Agency
420 GAFFNEY DR
WATERTOWN, NY 13601
Jefferson County (315) 788-2730
MADISON ELIZABETH DEROUIN MS, OTR/L
Occupational Therapist
420 GAFFNEY DR
WATERTOWN, NY 13601
Jefferson County (315) 788-2730
ERIN MARIE ROSS MS CFY
Speech-Language Pathologist
420 GAFFNEY DR
WATERTOWN, NY 13601
Jefferson County (315) 836-1227
JENNIFER BRINK MS PT
Physical Therapist
420 GAFFNEY DR
WATERTOWN, NY 13601
Jefferson County (315) 788-2730
DAVID PETER SHEPARD M.A., CCC-SLP
Speech-Language Pathologist
420 GAFFNEY DR
WATERTOWN, NY 13601
Jefferson County (315) 788-2730
MR. JOHN ALEXANDER TINSLEY EDD
Specialist
420 GAFFNEY DR
WATERTOWN, NY 13601
Jefferson County (315) 836-1249
MRS. JENNIFER H RUTLEDGE OTR/L
Occupational Therapist
420 GAFFNEY DR
WATERTOWN, NY 13601
Jefferson County (315) 788-2730

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 Jennifer Wagstaff's NPI number?

The NPI number for Jennifer Wagstaff is 1568919561. It was assigned to this individual provider in the NPPES registry on September 7, 2016.

Where is Jennifer Wagstaff located?

Jennifer Wagstaff practices at 420 Gaffney Dr, Watertown, NY 13601. The listed phone number is (315) 836-1226.

What is Jennifer Wagstaff's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jennifer Wagstaff was last updated on September 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.