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

Individual provider Occupational Therapist · NPI 1528254778

Tamara D Wagner, OTR is an Occupational Therapist in Private Practice in Denton, Texas. Qualified in 1992, 34 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
34
Licensed in
TX
In the registry since
2007
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

3716 Lake Country Dr
Denton, TX 76210-3305
Phone: (940) 390-4000
Fax: (940) 535-1147
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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 104360 (TX)

Record details

NPI number1528254778
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedSeptember 21, 2007
Last updated in NPPESSeptember 21, 2007
Mailing address3716 Lake Country Dr, Denton, TX 76210-3305

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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