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

Mrs. Lynette Ann Wagner, OTR/L

Individual provider Contractor · NPI 1952624884

Mrs. Lynette Ann Wagner, OTR/L is registered under Occupational Therapist in Private Practice in Clarkston, Michigan. Qualified in 2004, 22 years ago. Practices with Powerback Rehabilitation LLC, a 616-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
22
Licensed in
MI
In the registry since
2010
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

5774 Garnet Cir
Clarkston, MI 48348-3060 Not confirmed with CMS for 14 years — call before visiting
Phone: (586) 242-6541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 5201006848 (MI)

Record details

NPI number1952624884
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMarch 6, 2010
Last updated in NPPESApril 23, 2012

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Powerback Rehabilitation Llc — 616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Powerback Rehabilitation LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 616 clinicians in the practice; 12 are shown here.