Active NPI
Victoria Lissong Adjekpiyede, OTR/L
- Occupational Therapist
- Wilmington, DE
National Provider Identifier
1376792887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC010659
- Practice address
- 701 Foulk Rd Ste 2a
Wilmington, DE 19803-3733 - Phone
- (877) 407-3422
- NPI assigned
- Sep 9, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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.
-
- Physical Therapist
- Wilmington, DE
- NPI 1326092503
DE, Occupational Therapist
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240913002654 | DE | Practitioner - Occupational Therapist in Private Practice | 0143760389 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC010659 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Inc | Occupational Therapist | Current | Accepting new patients |
Locations
701 Foulk Rd
Ste 2A
Wilmington, DE 19803
7 Carnegie Plz
Cherry Hill, NJ 08003
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 | OC010659 | PA | Primary |
Addresses
Primary practice location
701 Foulk Rd Ste 2a
Wilmington, DE 19803-3733
Mailing address
1150 1St Ave
Suite 381
King of Prussia, PA 19406-1334
Phone (610) 941-8089
Other practice location 1
1150 1st Ave
Suite 381
King Of Prussia, PA 19406-1334
Phone (610) 941-8089
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehabilitation Services INC |
NPI Registry JSON
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734998400000",
"number": "1376792887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 1ST AVE",
"address_2": "SUITE 381",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194061334",
"telephone_number": "610-941-8089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 FOULK RD STE 2A",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198033733",
"telephone_number": "877-407-3422"
}
],
"practiceLocations": [
{
"address_1": "1150 1st Ave",
"address_2": "Suite 381",
"address_purpose": "LOCATION",
"city": "King Of Prussia",
"state": "PA",
"postal_code": "194061334",
"country_code": "US",
"telephone_number": "610-941-8089",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADJEKPIYEDE",
"first_name": "VICTORIA",
"middle_name": "LISSONG",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-09",
"last_updated": "2024-12-24",
"certification_date": "2024-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC010659",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehabilitation Services INC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "701 Foulk Rd Ste 2A",
"city": "Wilmington",
"state": "DE",
"country_code": "US",
"postal_code": "198033733",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.