Active NPI
Adriana Lynn Kosits-Demarco, OT
- Occupational Therapist
- Bear, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- U10000809
- 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, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00359624 | Other | DE | MEDICARE RAILROAD |
| 000051060 | Other | DE | DPCI |
| 102556918-0001 | Medicaid | PA | |
| 2141327 | Other | PA | HIGHMARK BLUE SHIELD |
| 3780952000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 1598712408 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| U10000809 | DE | MD | Occupational Therapist |
| OC008864 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On Site Dermatology of Pennsylvania PLLC | Past | 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.
-
dba Move For Life Physical Therapy LLC
- Physical Therapist
- Paoli, PA
- NPI 1932532207
-
- Physical Therapist
- Bear, DE
- NPI 1306875984
-
dba Pivot Physical Therapy of Mid Atlantic, LLC
- Physical Therapist
- Seaford, DE
- NPI 1205875093
Occupational Therapist
-
dba Dynamic Physical Therapy
- Physical Therapist
- Aston, PA
- NPI 1346477981
-
- Dermatology Physician
- Lower Gwynedd, PA
- NPI 1114369873
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.