Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexis Wagner, OTR/L

Individual provider Occupational Therapist · NPI 1932810504

Alexis Wagner, OTR/L is an Occupational Therapist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

10261 Innovation Way
Jacksonville, FL 32256-8172
Phone: (561) 389-7039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 20107 (FL)

Record details

NPI number1932810504
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedDecember 5, 2022
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025

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