IndividualActive
Jennifer Wagner
NPI 1003370545 · Occupational Therapy Assistant · Justin, TX
Provider details
- NPI number
- 1003370545
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 212402 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
120 Meadow View Dr
Justin, TX 76247-9639
Phone: (940) 648-2731
Street-level locationGet directions
Mailing address
10711 Justin Cemetery Rd Lot 264
Justin, TX 76247-8032
Registry dates
- Enumerated
- 2019-01-29
- Last updated
- 2019-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.