Active NPI
Elizabeth Rose Fornari, MS OTR/L
- Specialist
- Mount Kisco, NY
National Provider Identifier
1093988479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 017382-1
- Practice address
- 21 James Rd
Mount Kisco, NY 10549-3721 - Phone
- (617) 694-1531
- NPI assigned
- Apr 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 017382-1 | NY | Primary |
| Specialist | 174400000X | 9324 | MA |
Addresses
Primary practice location
21 James Rd
Mount Kisco, NY 10549-3721
Mailing address
21 James Rd
Mount Kisco, NY 10549-3721
Phone (617) 694-1531
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | fornari.elizabeth@gmail.com | ||
| Other URL | fornari.elizabeth@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9324 | MA | MD | Specialist |
| 017382-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671148800000",
"number": "1093988479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 JAMES RD",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493721",
"telephone_number": "617-694-1531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 JAMES RD",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493721",
"telephone_number": "617-694-1531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORNARI",
"first_name": "ELIZABETH",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "MS OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-08",
"last_updated": "2022-12-16",
"certification_date": "2022-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "017382-1",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "9324",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "fornari.elizabeth@gmail.com",
"affiliation": "N",
"address_1": "21 James Rd",
"city": "Mount Kisco",
"state": "NY",
"country_code": "US",
"postal_code": "105493721",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "fornari.elizabeth@gmail.com",
"affiliation": "N",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "21 James Rd",
"city": "Mount Kisco",
"state": "NY",
"country_code": "US",
"postal_code": "105493721",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.