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Ellen Wagner

Occupational Therapist in Belmar, NJ. Individual provider (NPI-1).

NPI number1710508155
StatusActive
Last updated in NPPESApr 27, 2020

Details

NPI
1710508155
Entity type
Individual (NPI-1)
Name
Ellen Wagner
Sex
Female
Sole proprietor
No
Enumeration date
Apr 27, 2020
Certification date
Apr 27, 2020
Last updated
Apr 27, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist46tr00533500NJYes

Practice location

508 10th Ave
Belmar, NJ 07719-2317

Phone 732-910-9196

Mailing address

508 10th Ave
Belmar, NJ 07719-2317

Phone 732-910-9196

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Occupational Therapist providers in Belmar, NJ

All 49 Occupational Therapist providers in Belmar · All 223 providers in Belmar

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