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Kimberly Wagner, MS, OTRL

NPI 1861885477ActiveIndividual· Specialist· Dearborn, MI

Specialist (MS, OTRL) in Dearborn, Michigan, licensed in MI, with an NPI issued in March 2015.

Overview

NPI1861885477
StatusActive
Entity typeIndividual
CredentialMS, OTRL
Sole proprietorNo
NPI issuedMar 7, 2015
Last updated in NPPESJul 30, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X5201001795MI
Occupational Therapist225X00000X5201001795MI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Specialist providers in Dearborn

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