Individual provider Active NPI

Aubrie Wolfsberger, MOT, OTR/L

  • Occupational Therapist
  • Honesdale, PA
National Provider Identifier
1255580205
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC009920 Issued in PA
Practice address
232 Sunrise Ave
Honesdale, PA 18431-1085
Phone
(570) 251-8003
Fax
(570) 251-8005
NPI assigned
Sep 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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 OC009920 PA Primary

Addresses

Primary practice location

232 Sunrise Ave
Honesdale, PA 18431-1085

Mailing address

232 Sunrise Ave
Honesdale, PA 18431-1085
Phone (570) 251-8003

Other names 1

  • Aubrie Vitiello Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090220000519 PA Practitioner - Occupational Therapist in Private Practice 6800951013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elmtree Wellness Center IncGroup PAC ID 4486939022, 14 clinicians

Practice addresses (Care Compare)

2489 Route 6
Suite 6
Hawley, PA 18428-6144
Phone (570) 390-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elmtree Wellness Center, Inc. CurrentSince Feb 10, 2025 Accepting new patients
Motion Physical Therapy Inc. Past Accepting new patients

Locations

2489 Route 6
Ste 6
Hawley, PA 18428
Phone (570) 218-7909

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": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1255580205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 SUNRISE AVE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311085",
            "telephone_number": "570-251-8003",
            "fax_number": "570-251-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 SUNRISE AVE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311085",
            "telephone_number": "570-251-8003",
            "fax_number": "570-251-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFSBERGER",
        "first_name": "AUBRIE",
        "name_prefix": "Mrs.",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC009920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUBRIE",
            "last_name": "VITIELLO",
            "credential": "MOT, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honesdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.