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

Phyllis J Wagner

Individual provider Occupational Therapy Assistant · NPI 1770697096

Phyllis J Wagner is an Occupational Therapy Assistant in Cheektowaga, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

4635 Union Rd
Cheektowaga, NY 14225-1851
Phone: (716) 505-5700
Fax: (716) 633-9351
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 000798-1 (NY)

Record details

NPI number1770697096
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 17, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1054 Niagara Falls Blvd, North Tonawanda, NY 14120-1220

Other providers in Cheektowaga