Lynette Ann Wagner, OTR/L
NPI 1952624884ActiveIndividual· Contractor· Clarkston, MI
Contractor (OTR/L) with Powerback Rehabilitation LLC, practicing in Clarkston, Michigan. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1952624884 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR/L |
| Sole proprietor | No |
| NPI issued | Mar 6, 2010 |
| Last updated in NPPES | Apr 23, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X | 5201006848 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (MI) |
|---|
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Powerback Rehabilitation LLCJackson, MI · 649 clinicians