Individual provider Active NPI

Victoria Ziegenfus, OTD, OTR/L

  • Occupational Therapist
  • Fayetteville, NC
National Provider Identifier
1003531450
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
15484 Issued in NC
Practice address
2713 Breezewood Ave
Fayetteville, NC 28303-5534
Phone
(910) 488-4100
NPI assigned
Oct 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 15484 NC Primary

Addresses

Primary practice location

2713 Breezewood Ave
Fayetteville, NC 28303-5534

Mailing address

76 Valley Brook LN
Spring Lake, NC 28390-4040

Other practice location 1

231 Treetop Dr Ste 301
Fayetteville, NC 28311-0606
Phone (910) 488-4821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15484NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Speech and Reading Center PastSince Oct 9, 2022 Accepting new patients
Cole Coastal Therapy LLC Occupational Therapist PastSince Oct 9, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1003531450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 VALLEY BROOK LN",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283904040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 BREEZEWOOD AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035534",
            "telephone_number": "910-488-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 Treetop Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283110606",
            "country_code": "US",
            "telephone_number": "910-488-4821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIEGENFUS",
        "first_name": "VICTORIA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "15484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.