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

Jessica Shirley Wagoner, MS/OT

Individual provider Occupational Therapist · NPI 1871427351

Jessica Shirley Wagoner, MS/OT is an Occupational Therapist in Clifton Park, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

1536 Crescent Rd
Clifton Park, NY 12065-7729
Phone: (518) 288-7054
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence P142944 (NY)

Record details

NPI number1871427351
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS/OT
Sole proprietorNo
NPI enumeratedJune 10, 2026
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026

Other providers in Clifton Park