Active NPI
Adam C Weisenborn, OTR/L
- Occupational Therapist
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119008241
- Practice address
- 1717 Will O Wisp Dr Ste 100
Virginia Beach, VA 23454-3102 - Phone
- (757) 422-8476
- Fax
- (804) 435-2172
- NPI assigned
- Aug 17, 2019
- Sex
- Male
- 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 | 0119008241 | VA | Primary |
Addresses
Primary practice location
1717 Will O Wisp Dr Ste 100
Virginia Beach, VA 23454-3102
Mailing address
PO Box 715868
Philadelphia, PA 19171-5868
Phone (804) 915-1910
Other practice location 1
901 Enterprise Pkwy Ste 900
Hampton, VA 23666-6250
Phone (757) 827-2480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 Enterprise Pkwy
Suite 900
Hampton, VA 23666-6250
Phone (757) 827-2480
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.1 of 100
- Quality
- 91.92
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 90.92
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119-008241 | VA | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Orthopaedic Associates Inc | Physical Therapist | Current | Accepting new patients |
| Tidewater Orthopaedic Associates Inc | Current | Accepting new patients | |
| Hampton Roads Otolaryngology Associates PLLC | Past | Accepting new patients | |
| Tidewater Orthopaedic Associates Occupational Therapy | Past | Accepting new patients |
Locations
901 Enterprise Pkwy
Hampton, VA 23666
Phone (757) 827-2480
901 Enterprise Pkwy
Ste 900
Hampton, VA 23666
Phone (757) 827-2480
4037 Ironbound Rd
Williamsburg, VA 23188
Phone (757) 206-1004
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BCCHBA
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Hampton, VA
- NPI 1225058548
-
- Otolaryngic Allergy Physician
- Hampton, VA
- NPI 1700939980
-
- Occupational Therapist
- Hampton, VA
- NPI 1649345927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1467008136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 715868",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191715868",
"telephone_number": "804-915-1910",
"fax_number": "804-968-1803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 WILL O WISP DR STE 100",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234543102",
"telephone_number": "757-422-8476",
"fax_number": "804-435-2172"
}
],
"practiceLocations": [
{
"address_1": "901 Enterprise Pkwy Ste 900",
"address_purpose": "LOCATION",
"city": "Hampton",
"state": "VA",
"postal_code": "236666250",
"country_code": "US",
"telephone_number": "757-827-2480",
"fax_number": "757-827-2566",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEISENBORN",
"first_name": "ADAM",
"middle_name": "C",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-17",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119008241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.