PATRICIA WAGNER (OT) – Pediatric Occupational Therapist, NPI 1225214083

PATRICIA WAGNER (OT) is a healthcare provider. based in Blue ash, Ohio. specializing in Pediatric Occupational Therapist. They hold the professional credentials OT. They hold a License No. OT001966 (OH). The NPI Number for PATRICIA WAGNER (OT) is 1225214083

Main info

Female
Sole Proprietor
Name
PATRICIA WAGNER (OT)
NPI
1225214083
Phone
(513) 880-6800
Address
11230 CORNELL PARK DR
Enumeration Date
11 January 2008
Last Update Date
8 April 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for PATRICIA WAGNER (OT)

  • Kenneth E. Peller Attorney At Law, 11230, Cornell Park Drive, Cornell Park, Hazelwood, Cincinnati, Hamilton County, Ohio, 45242, United States

    BLUE ASH, OH 452421825

    Phone: (513) 880-6800

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-01-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200115001502IOccupational Therapist In Private PracticeOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45242)

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Reviews

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Frequently asked questions

Is there an official ID for PATRICIA WAGNER (OT) in U.S. healthcare records?
The official identifier for PATRICIA WAGNER (OT) is NPI 1225214083.
Is PATRICIA WAGNER (OT) shown as active in public data?
Registry records indicate PATRICIA WAGNER (OT) maintains an active NPI.
What kind of doctor is PATRICIA WAGNER (OT)?
PATRICIA WAGNER (OT) is associated with Pediatric Occupational Therapist in the directory — Clinical services aligned with this taxonomy classification.
Where in Ohio is PATRICIA WAGNER (OT) registered?
Use Blue Ash, Ohio as the headline location for PATRICIA WAGNER (OT) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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