NPI age
10 years
Enumerated 2016-05-10
● Active
Type 1 · Individual
Michael Charles Wagner
Wagner is 1 of 33 occupational therapist providers in Nampa and 1 of 626 in Idaho.
Primary specialty
Occupational Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-05-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 626 active occupational therapist providers in Idaho.
NPI age
10 years
≈ at median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
12% of peers hold subspecialties
NPI lifetime · 2016 → 2026
2016-05Enumerated in NPPES
2016
2026
Where they practice
Practice location
170 2nd St S
Nampa, ID 836513708
Mailing address
170 2nd St S
Nampa, ID 836513708
Specialties
-
Occupational Therapist PrimaryAn occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the...
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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