Individual provider Active NPI

Ada Cecelia Ezeani, MS, OTR/L

  • Occupational Therapist
  • Beltsville, MD
National Provider Identifier
1679970602
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
03936 Issued in MD
Practice address
10750 Rhode Island Ave
Beltsville, MD 20705-2513
Phone
(301) 332-8441
NPI assigned
Nov 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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 03936 MD Primary
Occupational Therapist 225X00000X OT954 DC

Addresses

Primary practice location

10750 Rhode Island Ave
Beltsville, MD 20705-2513

Mailing address

10750 Rhode Island Ave
Beltsville, MD 20705-2513
Phone (301) 937-1632

Other practice location 1

6196 Oxon Hill Rd Ste 120
Oxon Hill, MD 20745-3138
Phone (301) 567-6400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161128002260 DC Practitioner - Occupational Therapist in Private Practice 4880973353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Howard University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ace Therapeutix and Consulting LLCGroup PAC ID 8426385972, 3 clinicians

Practice addresses (Care Compare)

10750 Rhode Island Ave
Beltsville, MD 20705-2513
Phone (301) 937-1632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
03936MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ace Therapeutix and Consulting LLC Occupational Therapist CurrentSince Jun 1, 2019 Accepting new patients
Ergo Occmed LLC Occupational Therapist CurrentSince Oct 1, 2016 Accepting new patients

Locations

1160 Varnum St NE
Ste 300
Washington, DC 20017
Phone (202) 269-7528

10750 Rhode Island Ave
Beltsville, MD 20705
Phone (301) 332-8441

6196 Oxon Hill Rd
Ste 120
Oxon Hill, MD 20745
Phone (301) 529-7479

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1679970602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10750 RHODE ISLAND AVE",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052513",
            "telephone_number": "301-937-1632",
            "fax_number": "301-576-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10750 RHODE ISLAND AVE",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052513",
            "telephone_number": "301-332-8441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6196 Oxon Hill Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Oxon Hill",
            "state": "MD",
            "postal_code": "207453138",
            "country_code": "US",
            "telephone_number": "301-567-6400",
            "fax_number": "202-318-8174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EZEANI",
        "first_name": "ADA",
        "middle_name": "CECELIA",
        "name_prefix": "Ms.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-19",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "03936",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DC",
            "license": "OT954",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.