Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ADELINE WAGNER
NPI 1407687627
Occupational Therapist in North Chesterfield, VA

Active since August 09, 2024
1115 BOULDERS PKWY STE 100A, NORTH CHESTERFIELD, VA 23225(804) 379-9086(804) 267-1673 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 15, 2026, Aug 15, 2024, Aug 9, 2024 (3 updates tracked since 2024).

About Adeline Wagner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADELINE WAGNER (NPI 1407687627) is an individual occupational therapist in North Chesterfield, Virginia, licensed in Virginia (0119010516) and active in the NPI registry since August 2024. She maintains 2 additional practice locations and is a graduate of Other (2024).

NPPES Registry Identity

NPI1407687627
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameADELINE WAGNER
Location Address1115 BOULDERS PKWY STE 100ANorth Chesterfield, VA 23225-4067
Mailing AddressPo Box 715868Philadelphia, PA 19171-5868 · (804) 915-1910 · Fax (804) 968-1803
Fax(804) 267-1673
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 9, 2024
Last NPPES UpdateSeptember 15, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2026
✔ NPI 1407687627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in VA · 0119010516
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
1115 BOULDERS PKWY STE 100A, North Chesterfield, VA 23225

Secondary Practice Locations 2

Location 15205 Commonwealth Centre PkwyMidlothian, VA 23112-2623 · Phone (804) 977-2770
Location 216260 Bennett RdCulpeper, VA 22701-4630 · Phone (540) 727-0737 · Fax (540) 727-0738

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adeline Wagner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052814613
PECOS Enrollment IDI20250911000016

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
1115 BOULDERS PKWY STE 100A
NORTH CHESTERFIELD, VA 23225
Occupational Therapist
1115 BOULDERS PKWY STE 100A
NORTH CHESTERFIELD, VA 23225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adeline Wagner's NPI number?

The NPI number for Adeline Wagner is 1407687627. It was assigned to this individual provider in the NPPES registry on August 9, 2024.

Where is Adeline Wagner located?

Adeline Wagner practices at 1115 Boulders Pkwy Ste 100A, North Chesterfield, VA 23225. The listed phone number is (804) 379-9086.

What is Adeline Wagner's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Adeline Wagner enrolled in Medicare?

Yes. Adeline Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Adeline Wagner was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.