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

Jonathan Dewaine Wagner, OT

Individual provider Occupational Therapist · NPI 1962926592

Jonathan Dewaine Wagner, OT is an Occupational Therapist in Greenville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2017.

Licensed in
SC
In the registry since
2017
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

661 Rutherford Rd
Greenville, SC 29609-4640
Phone: (864) 232-2442
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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 4630 (SC)

Record details

NPI number1962926592
Entity typeIndividual (Type 1)
GenderMale
Credentials OT
Sole proprietorNo
NPI enumeratedJuly 26, 2017
Last updated in NPPESJuly 26, 2017

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