Caroline Louise Dart, OTR/L

Individual provider Active NPI Pediatric Occupational Therapist · Verona, NY

NPI 1114267200 · NPPES record last updated Nov 28, 2023

Key facts

NPI
1114267200
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
026466 (NY)
Practice address
4937 Spring Rd
Verona, NY 13478-3526
Phone
(315) 361-5500
NPI assigned
Feb 26, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
TOC102589PAMDOccupational Therapist
0119005956VAMDOccupational Therapist
026466NYMDPediatric Occupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119005956 VA
Occupational Therapist 225X00000X TOC102589 PA
Pediatric Occupational Therapist 225XP0200X 0119005956 VA
Pediatric Occupational Therapist 225XP0200X 026466 NY Yes

Addresses

Primary practice location

4937 Spring Rd
Verona, NY 13478-3526

Mailing address

65 Lebanon St
Hamilton, NY 13346-1225
Phone (540) 422-9595

Other practice location 1

8575 Rixlew Ln
Manassas, VA 20109-3701
Phone (703) 257-9770

Other practice location 2

14715 Bristow Rd
Manassas, VA 20112-3945
Phone (703) 791-7282

Other practice location 3

101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-3598

Other providers in Verona, NY

All providers in Verona, NY · Pediatric Occupational Therapist in New York

Sources for this page

Verify at the official NPI Registry.