Raquel Marie Divincenzo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

051132 Issued in NY

Practice address

112 Cortlandt Rd
Mahopac, NY 10541-3620

Phone

(845) 531-9572

NPI assigned

Jan 20, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Campilii-Snyder Physical Therapy PCGroup PAC ID 3375433972, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Campilii-Snyder Physical Therapy PC

  • Physical Therapist
  • Wappingers Falls, NY
  • NPI 1184655672
  Medicare reassignment Care Compare group NPD
• Bienetre Medical PC

  • Physical Therapist
  • New York, NY
  • NPI 1568037257
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1013481316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 CORTLANDT RD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105413620",
            "telephone_number": "845-531-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 CORTLANDT RD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105413620",
            "telephone_number": "845-531-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVINCENZO",
        "first_name": "RAQUEL",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-20",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "051132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH CARE",
            "identifier": "82100177502",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorena Diaz, M.A.
• Maureen Studdert Dibello, OT
• Jennifer Dibenedetto, LCSW
• Gina Difusco, RD
• Nikki Diroma
• Donna Anne Donato, P.T.
• Julia Donovan
• Meghan Dubrisingh, S.L.P.
• Lisa Rose Duonola
• Bruna Duran

• Physical Therapist in Mahopac, NY
• Providers in Mahopac, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.