Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1437882503 Individual Practitioner Female Practitioner

Alyssa Merrill Van Wagoner , OTR, L

Occupational Therapist • Syracuse, UT

Professional Overview & Biography Verified Profile Summary

Alyssa Van Wagoner, OTR, L is a registered healthcare professional specializing in Occupational Therapist in Syracuse, UT. Practice services are available at 3186 S 2550 W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3186 S 2550 W

Syracuse, UT 840754911

Telephone 4358900560

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapist in Syracuse, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Syracuse, UT (1042 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-02-12
Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

State License UT 12872355-4201

An 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 World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location February 12, 2026

Registered at 3186 S 2550 W, SYRACUSE, UT 840754911 (Tel: 4358900560)

📍
Updated Business Mailing Address February 12, 2026

Registered at 3186 S 2550 W, SYRACUSE, UT 840754911 (Tel: 4358900560)

👤
Provider Name / Credentials Updated February 12, 2026

Recorded as ALYSSA VAN WAGONER, OTR/L

NPI Profile Active July 06, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 06, 2022

Registered at 1570 N MAIN ST, SPANISH FORK, UT 846601006 (Tel: 8016583405)

📍
Updated Business Mailing Address July 06, 2022

Registered at 1359 BOX ELDER CIR, LOGAN, UT 843412865 (Tel: 4358900560)

👤
Provider Name / Credentials Updated July 06, 2022

Recorded as ALYSSA MERRILL, OTR/L

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2022

Occupational Therapist (License #12872355-4201 in UT)

🟢
Initial NPI Registration & Enumeration July 06, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437882503
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2022
Last Update: February 12, 2026
Sole Proprietor: No

Mailing Address

3186 S 2550 W

Syracuse, UT 840754911

Phone: 4358900560

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.