MRS. BRENDA PRINCE FADEYIBI OTR/L
NPI 1912248402
Occupational Therapist - Hand in Bronx, NY
About Mrs. Brenda Prince Fadeyibi Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. BRENDA PRINCE FADEYIBI OTR/L (NPI 1912248402) is an individual hand provider in Bronx, New York, licensed in New York (63017537) and active in the NPI registry since March 2013. She is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Brenda Prince Fadeyibi Otr/l 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.
Medicare Billing Reassignments
3Medicare enrollment records show Brenda Fadeyibi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92111
- Reassigned Medicare billing, California enrollment
- 1,233 clinicians in this Medicare group
National City, CA 91950
- Reassigned Medicare billing, California enrollment
- 13 clinicians in this Medicare group
Beverly Hills, CA 90210
- Reassigned Medicare billing, California enrollment
- 147 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRONX, NY 10457
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 Brenda Fadeyibi's NPI number?
The NPI number for Brenda Fadeyibi is 1912248402. It was assigned to this individual provider in the NPPES registry on March 7, 2013. The provider is also known as Brenda Prince Charles.
Where is Brenda Fadeyibi located?
Brenda Fadeyibi practices at 1650 Selwyn Ave, Bronx, NY 10457. The listed phone number is (718) 518-5859.
What is Brenda Fadeyibi's specialty?
The primary specialty registered for this NPI is Occupational Therapist, specializing in Hand, with taxonomy code 225XH1200X.
Is Brenda Fadeyibi enrolled in Medicare?
Yes. Brenda Fadeyibi 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.
Which organizations bill Medicare for Brenda Fadeyibi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Fadeyibi reassigns Medicare benefits to 3 organizations: Sharp Rees-Stealy Medical Group, Inc (San Diego, CA), Rehab Specialists Outpatient, LLC (National City, CA) and New Life Physical Therapy Services, PC (Beverly Hills, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brenda Fadeyibi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Brenda Fadeyibi was last updated on May 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Mrs. Brenda Prince Fadeyibi, OTR/L · NPI 1912248402
Hand provider in Bronx, New York. Individual provider, active in the CMS NPPES registry since March 7, 2013.
## Identity
- **NPI:** 1912248402 (Entity type: Individual)
- **Enumerated:** March 7, 2013
- **Primary specialty:** Occupational Therapist - Hand · taxonomy 225XH1200X
- **State license:** 63017537 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1650 SELWYN AVE, Bronx, NY 10457-7626
- **Phone:** (718) 518-5859
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Sharp Rees-Stealy Medical Group, Inc (NPI 1285616177, San Diego, CA); Rehab Specialists Outpatient, LLC (NPI 1235868381, National City, CA); New Life Physical Therapy Services, PC (NPI 1285160788, Beverly Hills, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** May 15, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1912248402) · Data from the CMS NPPES public registry.