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

Kathleen Marie Wagner, COTA

Individual provider Occupational Therapy Assistant · NPI 1871879452

Kathleen Marie Wagner, COTA is an Occupational Therapy Assistant in Pea Ridge, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2011
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

979 Weston St
Pea Ridge, AR 72751-2628
Phone: (479) 451-8181
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OT-A625 (AR)

Record details

NPI number1871879452
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedOctober 27, 2011
Last updated in NPPESOctober 20, 2023
Certification dateOctober 20, 2023