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

Alyssa Merrill Van Wagoner, OTR/L

Individual provider Occupational Therapist · NPI 1437882503

Alyssa Merrill Van Wagoner, OTR/L is an Occupational Therapist in Syracuse, Utah. Licensed in Utah. Registered with an NPI since 2022.

Licensed in
UT
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

3186 S 2550 W
Syracuse, UT 84075-4911
Phone: (435) 890-0560
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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 12872355-4201 (UT)

Record details

NPI number1437882503
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJuly 6, 2022
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026

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