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

Elizabeth Adenegan

Individual provider Occupational Therapist · NPI 1740910157

Elizabeth Adenegan is an Occupational Therapist in Private Practice in Staten Island, New York. Qualified in 2021, 5 years ago. Practices as a sole proprietor.

Years since qualifying
5
In the registry since
2022
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Practice location Address checks out

124 Pendleton Pl
Staten Island, NY 10301-2241
Phone: (347) 781-3566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1740910157
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 16, 2022
Last updated in NPPESJune 16, 2022
Certification dateJune 16, 2022
Mailing address124 Pendleton Pl, Staten Island, NY 10301-2241

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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