IndividualActive
Alyssa Van Wagoner, OTR/L
NPI 1437882503 · Occupational Therapist · Syracuse, UT
Provider details
- NPI number
- 1437882503
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 12872355-4201 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(60/100 index)
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
3186 S 2550 W
Syracuse, UT 84075-4911
Phone: (435) 890-0560
Approximate (ZIP-level) locationGet directions
Mailing address
3186 S 2550 W
Syracuse, UT 84075-4911
Registry dates
- Enumerated
- 2022-07-06
- Last updated
- 2026-02-12
- Certified
- 2026-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.