Gary Lee Wagner
Developmental Therapist • Beloit, WI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Gary Wagner has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Gary Wagner was a registered Developmental Therapist practicing in Beloit, WI. Throughout an active medical career spanning 14 years, Gary Wagner provided care at the practice location at 897 LILAC RD until profile deactivation on 2022-02-10.
Practice Location & Contact Primary Location
897 Lilac Rd
Beloit, WI 535111627
Specialty Benchmarks & Practice Insights
Comparative analytics for Developmental Therapist in Beloit, WI
Practicing in Beloit, WI (16 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 222Q00000X
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.
Practice Associates & Co-Workers
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Counselor - Professional
Master of Science in Education, Licensed Clinical Professional Counselor
Counselor - Professional
Career & Practice History Timeline
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Record deactivated on February 10, 2022
NPI status registered as active in NPPES database
Registered at 897 LILAC RD, BELOIT, WI 535111627 (Tel: 6082906705)
Registered at 897 LILAC RD, BELOIT, WI 535111627 (Tel: 6082906705)
Recorded as GARY WAGNER
Developmental Therapist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
897 Lilac Rd
Beloit, WI 535111627
Phone: 6082906705
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