Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194206243 Individual Practitioner Female Practitioner

Emily Grace Wagner , DT-C

Developmental Therapist • Reston, VA

Professional Overview & Biography Verified Profile Summary

Emily Wagner, DT-C is a registered healthcare professional specializing in Developmental Therapist in Reston, VA. Practice services are available at 11720 PLAZA AMERICA DR FL 9 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11720 Plaza America Dr Fl 9

Reston, VA 201904757

Telephone 8669687512

Specialty Benchmarks & Practice Insights

Comparative analytics for Developmental Therapist in Reston, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Reston, VA (106 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: 2023-07-31
Developmental Therapist Primary Specialty

NUCC Taxonomy Code: 222Q00000X

State License None NA

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

Specialist/Technologist - Speech-Language Assistant

NUCC Taxonomy Code: 2355S0801X

State License IN 29001978A

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Alyssa Hirschi

Specialist/Technologist - Speech-Language Assistant

NPI 1235708520

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location July 31, 2023

Registered at 11720 PLAZA AMERICA DR FL 9, RESTON, VA 201904757 (Tel: 8669687512)

📍
Updated Business Mailing Address July 31, 2023

Registered at 11720 PLAZA AMERICA DR FL 9, RESTON, VA 201904757 (Tel: 8669687512)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2023

Specialist/Technologist (License #29001978A in IN)

📍
Updated Practice Location June 10, 2020

Registered at 1579 S FOLSOMVILLE RD, BOONVILLE, IN 476019465 (Tel: 8129296523)

📍
Updated Business Mailing Address June 10, 2020

Registered at 1579 S FOLSOMVILLE RD, BOONVILLE, IN 476019465 (Tel: 8129296523)

👤
Provider Name / Credentials Updated June 10, 2020

Recorded as EMILY WAGNER, DT-C

NPI Profile Active August 27, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 27, 2018

Registered at 6239 S EAST ST STE A, INDIANAPOLIS, IN 462272088 (Tel: 3177919031)

📍
Updated Business Mailing Address August 27, 2018

Registered at 6239 S EAST ST STE A, INDIANAPOLIS, IN 462272088 (Tel: 3177919031)

👤
Provider Name / Credentials Updated August 27, 2018

Recorded as EMILY PAGE, DT-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2018

Developmental Therapist (License #NA in None)

🟢
Initial NPI Registration & Enumeration August 27, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1194206243
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 27, 2018
Last Update: July 31, 2023
Sole Proprietor: Yes

Mailing Address

11720 Plaza America Dr Fl 9

Reston, VA 201904757

Phone: 8669687512

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.