ALEXIS WAGNER OTR/L
NPI 1932810504
Occupational Therapist in Jacksonville, FL

Active since December 05, 2022Accepts Medicare Assignment
10261 INNOVATION WAY, JACKSONVILLE, FL 32256(561) 389-7039 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Alexis Wagner Otr/l NPPES

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

ALEXIS WAGNER OTR/L (NPI 1932810504) is an individual occupational therapist in Jacksonville, Florida, licensed in Florida (20107) and active in the NPI registry since December 2022. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1932810504
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameALEXIS WAGNERCredential: OTR/L
Location Address10261 INNOVATION WAYJacksonville, FL 32256-8172
Mailing Address10261 Innovation WayJacksonville, FL 32256-8172 · (561) 389-7039
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 5, 2022
Last NPPES UpdateMay 2, 2025
NPPES CertifiedMay 2, 2025
✔ NPI 1932810504 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 FL · 20107
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.
10261 INNOVATION WAY, Jacksonville, FL 32256

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexis 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 ID9537520143
PECOS Enrollment IDI20230731000061

Medicare Billing Reassignment

Medicare enrollment records show Alexis Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
10261 INNOVATION WAY
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

Clinic/Center
10261 INNOVATION WAY
JACKSONVILLE, FL 32256
Occupational Therapist
10261 INNOVATION WAY
JACKSONVILLE, FL 32256
Physical Medicine & Rehabilitation
10261 INNOVATION WAY
JACKSONVILLE, FL 32256
Occupational Therapist
10261 INNOVATION WAY
JACKSONVILLE, FL 32256

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 Alexis Wagner's NPI number?

The NPI number for Alexis Wagner is 1932810504. It was assigned to this individual provider in the NPPES registry on December 5, 2022.

Where is Alexis Wagner located?

Alexis Wagner practices at 10261 Innovation Way, Jacksonville, FL 32256. The listed phone number is (561) 389-7039.

What is Alexis Wagner's specialty?

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

Is Alexis Wagner enrolled in Medicare?

Yes. Alexis 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.

Which organization bills Medicare for Alexis Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexis Wagner reassigns Medicare benefits to Functional Homes And Bodies (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexis Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alexis Wagner was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.