Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adeline Wagner

Individual provider Occupational Therapist · NPI 1407687627

Adeline Wagner is an Occupational Therapist in Private Practice in Midlothian, Virginia. Qualified in 2024, 2 years ago. Practices with Ivyrehab Sept, LLC, a 215-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2024
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Practice location Address checks out

5205 Commonwealth Centre Pkwy
Midlothian, VA 23112-2623
Phone: (804) 977-2770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16260 Bennett Rd, Culpeper, VA 22701-4630 — (540) 727-0737

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 0119010516 (VA)

Record details

NPI number1407687627
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 9, 2024
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025
Mailing address5205 Commonwealth Centre Pkwy, Midlothian, VA 23112-2623

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ivyrehab Sept, Llc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Midlothian