Individual provider Active NPI

Adriana Lynn Kosits-Demarco, OT

  • Occupational Therapist
  • Bear, DE
National Provider Identifier
1598712408
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
U10000809 Issued in DE
Practice address
1651 53 Pulaski Hwy
Bear, DE 19701-1453
Phone
(302) 834-1550
Fax
(302) 834-1549
NPI assigned
May 27, 2006
Last updated
Mar 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X U10000809 DE Primary
Occupational Therapist 225X00000X OC008864 PA

Addresses

Primary practice location

1651 53 Pulaski Hwy
Bear, DE 19701-1453

Mailing address

2 W 10TH St
Marcus Hook, PA 19061-4513
Phone (610) 859-8850

Other identifiers 6

IdentifierTypeStateIssuer
P00359624OtherDEMEDICARE RAILROAD
000051060OtherDEDPCI
102556918-0001MedicaidPA
2141327OtherPAHIGHMARK BLUE SHIELD
3780952000OtherPAINDEPENDENCE BLUE CROSS
1598712408MedicaidDE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150116001200 PA Practitioner - Occupational Therapist in Private Practice 1759288483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Home Care Health Specialists LLCGroup PAC ID 3375774045, 34 clinicians

Practice addresses (Care Compare)

900 N Atwater Dr
Malvern, PA 19355-0078
Phone (855) 657-8723

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
U10000809DEMDOccupational Therapist
OC008864PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
On Site Dermatology of Pennsylvania PLLC PastSince Dec 25, 2024 Accepting new patients
Dynamic Therapy Services LLC Occupational Therapist Past Accepting new patients
Dynamic Physical Therapy Past Accepting new patients
Dynamic Therapy Services of Pennsylvania LLC Past Accepting new patients

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1598712408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W 10TH ST",
            "city": "MARCUS HOOK",
            "state": "PA",
            "postal_code": "190614513",
            "telephone_number": "610-859-8850",
            "fax_number": "610-859-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 53 PULASKI HWY",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011453",
            "telephone_number": "302-834-1550",
            "fax_number": "302-834-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSITS-DEMARCO",
        "first_name": "ADRIANA",
        "middle_name": "LYNN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DE",
            "license": "U10000809",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC008864",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00359624",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPCI",
            "identifier": "000051060",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102556918-0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "2141327",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "3780952000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598712408",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.