Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Adeline Wagner

Individual provider Occupational Therapist · NPI 1407687627

Adeline Wagner is registered under Occupational Therapist in Private Practice in North Chesterfield, Virginia. Qualified in 2024, 2 years ago. Practices with Ivyrehab Sept, LLC, a 215-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2024

Practice location Address checks out

1115 Boulders Pkwy Ste 100A
North Chesterfield, VA 23225-4067
Phone: (804) 379-9086
Fax: (804) 267-1673
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 16260 Bennett Rd, Culpeper, VA 22701-4630 — (540) 727-0737
  • 5205 Commonwealth Centre Pkwy, Midlothian, VA 23112-2623 — (804) 977-2770

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 NPPESSeptember 15, 2026
Certification dateSeptember 15, 2026

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

Colleagues at Ivyrehab Sept, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 215 clinicians in the practice; 12 are shown here.

Other providers in North Chesterfield