Mary Wagner, COTA
NPI 1033842075 · Occupational Therapy Assistant · Kenosha, WI
Mary Wagner, COTA is a Occupational Therapy Assistant provider in Kenosha, WI (NPI 1033842075).
Provider details
- NPI number
- 1033842075
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5738-27 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2022-07-07
- Last updated
- 2022-07-07
- Certified
- 2022-06-27
Frequently asked questions
- What is Mary Wagner's NPI number?
- Mary Wagner's National Provider Identifier (NPI) is 1033842075, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Wagner's specialty?
- Mary Wagner is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Mary Wagner located?
- Mary Wagner's practice location on file with NPPES is 3415 Sheridan Rd, Kenosha, WI 53140-1924.
- What is Mary Wagner's phone number?
- The practice phone number listed in the NPPES registry for Mary Wagner is (262) 657-6175.
- Is Mary Wagner's NPI active?
- Yes — Mary Wagner's NPI (1033842075) is active in the NPPES registry as of the last update on 2022-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.