Individual provider Active NPI

Adrienne Woske, OT

  • Occupational Therapist
  • Valdosta, GA
National Provider Identifier
1699715987
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT004574 Issued in GA
Practice address
2407 Andover Dr
Suite B
Valdosta, GA 31602-1280
Phone
(229) 247-0038
Fax
(229) 671-1005
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2017

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 2492 AL
Occupational Therapist 225X00000X OT004574 GA Primary

Addresses

Primary practice location

2407 Andover Dr
Suite B
Valdosta, GA 31602-1280

Mailing address

2407 Andover Dr
Suite B
Valdosta, GA 31602-1280
Phone (229) 247-0038

Other identifiers 2

IdentifierTypeStateIssuer
890017520MedicaidAL
51537177MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080226000441 GA Practitioner - Occupational Therapist in Private Practice 3072554443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of Alabama School of Medicine, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2407 Andover Dr
Suite B
Valdosta, GA 31602-1280

2407 Andover Dr
Suite B
Valdosta, GA 31602-1379
Phone (229) 247-0038

2407 Andover Dr B
Valdosta, GA 31602-1280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2492ALMDOccupational Therapist
OT004574GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Therapy Services, LLC Occupational Therapist CurrentSince Aug 27, 2007 Accepting new patients

Locations

2108 N Patterson St
Valdosta, GA 31602
Phone (229) 244-3000

2407 Andover Dr
Ste B
Valdosta, GA 31602
Phone (229) 247-0038

Organizations & group practices 1

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1699715987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 ANDOVER DR",
            "address_2": "SUITE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021280",
            "telephone_number": "229-247-0038",
            "fax_number": "229-671-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 ANDOVER DR",
            "address_2": "SUITE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021280",
            "telephone_number": "229-247-0038",
            "fax_number": "229-671-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOSKE",
        "first_name": "ADRIENNE",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "2492",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT004574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890017520",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51537177",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.