MR. RICK WAGELIE OTR/L NPI 1942200936

NPI Information

NPI: 1942200936
Provider Name: MR. RICK WAGELIE, OTR/L
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
5156 S 197TH AVENUE CIR
OMAHA, NE
ZIP 68135
Phone: (402) 290-0931
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MR. Rick Wagelie, OTR/L is a specialist in Omaha, NE. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Rick Wagelie, OTR/L NPI is 1942200936. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5156 S 197TH AVENUE CIR
OMAHA, NE
ZIP 68135-679
Phone: (402) 290-0931
Fax: (402) 597-0382

The enumeration date for this NPI number is 7/30/2005 and was last updated on 3/18/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		# 421	NEBRASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	470807419-00	MEDICAID	NEBRASKA
2	09203	OTHER	NEBRASKA	BLUE CROSS BLUE SHIELD #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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