Active NPI
Valerie Omolefe Aziegbe, OTR/L
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1033679121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 023445
- Practice address
- 2118 Coney Island Ave
Brooklyn, NY 11223-2347 - Phone
- (540) 424-4582
- NPI assigned
- Mar 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 023445 | NY | Primary |
Addresses
Primary practice location
2118 Coney Island Ave
Brooklyn, NY 11223-2347
Mailing address
86 Fleet PL Apt 21E
Brooklyn, NY 11201-7156
Phone (540) 424-4582
Other practice location 1
86 Fleet Pl Apt 21E
Brooklyn, NY 11201-7156
Phone (540) 424-4582
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0023445 | Other | NY | STATE LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023445 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567036800000",
"number": "1033679121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 FLEET PL APT 21E",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112017156",
"telephone_number": "540-424-4582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2118 CONEY ISLAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112232347",
"telephone_number": "540-424-4582"
}
],
"practiceLocations": [
{
"address_1": "86 Fleet Pl Apt 21E",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112017156",
"country_code": "US",
"telephone_number": "540-424-4582",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AZIEGBE",
"first_name": "VALERIE",
"middle_name": "OMOLEFE",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-23",
"last_updated": "2019-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "023445",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "0023445",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.