Active NPI
Sariat Adebowale Adeniji-Adele, O.T.
- Occupational Therapist
- Waldorf, MD
National Provider Identifier
1679792790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 04073
- Practice address
- 4140 Old Washington Rd
Waldorf, MD 20602-3221 - Phone
- (301) 645-2813
- NPI assigned
- Apr 25, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 04073 | MD | Primary |
Addresses
Primary practice location
4140 Old Washington Rd
Waldorf, MD 20602-3221
Mailing address
4406 Windflower Way
Bowie, MD 20720-6200
Phone (301) 918-0014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04073 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679792790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4406 WINDFLOWER WAY",
"city": "BOWIE",
"state": "MD",
"postal_code": "207206200",
"telephone_number": "301-918-0014",
"fax_number": "301-918-0015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4140 OLD WASHINGTON RD",
"city": "WALDORF",
"state": "MD",
"postal_code": "206023221",
"telephone_number": "301-645-2813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADENIJI-ADELE",
"first_name": "SARIAT",
"middle_name": "ADEBOWALE",
"name_prefix": "Ms.",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "04073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waldorf, MD
- Acora Dental, LLC
- Ann Mary Graham Acosta
- Semeona Marquez Acuzar-Brillantes, RDH
- Miesha Adams
- John Ayomikun Adelodun
- Oluwakemi Adeola, MS, RD, LD
- Adeteju Ogunrinde, MD, F.a.a.P., Children's Health Care Ctr. (Children's Healthcare Center)
- Adil Quraish DDS Waldorf PC (Dental Care of Waldorf)
- Adonai Healthcare Services
- Advance Integrated Health, LLC (AIH Behavioral Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.