Sarah Anne Beck-Divalentino – Physical Therapist

Key facts

NPI: 1124378757
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 035704 (NY)
Practice address: 2 Delavergne Ave
Wappingers Falls, NY 12590-1202
Phone: (845) 297-4789
Fax: (845) 297-8596
NPI assigned: Sep 11, 2012
Sex: Female
Sole proprietor: No

Organizations & group practices 3

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 NY · PHYSICAL THERAPIST
Bienetre Medical PC Physical Therapist · New York, NY · NPI 1568037257

NPD (past) PHYSICAL THERAPIST
Moriarty Physical Therapy, P.C. Physical Therapist · Poughkeepsie, NY · NPI 1245200518

NPD (past) PHYSICAL THERAPIST

Medicare Care Compare profile

Specialty: Physical Therapist in Private Practice
Education: Other, 2012
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Campilii-Snyder Physical Therapy PC (18 clinicians)

Practice addresses (Care Compare)

2 Delavergne Ave
Wappingers Falls, NY 12590-1202
Phone (845) 297-4789

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NY

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20130225000220	NY	Practitioner - Physical Therapist in Private Practice	1052566007	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
035704	NY	MD	Prosthodontist

Practice roles

Organization	Specialty	Status	New patients
Campilii-Snyder Physical Therapy PC	Physical Therapist	Current since Jun 1, 2023	Accepting new patients
Bienetre Medical PC	Physical Therapist	Past	Accepting new patients
Moriarty Physical Therapy, P.C.	Physical Therapist	Past since Dec 29, 1998	Accepting new patients

Locations

264 Route 52
Carmel, NY 10512
Phone (845) 200-7646

4353 Albany Post Rd
Hyde Park, NY 12538
Phone (845) 233-4960

2 Delavergne Ave
Wappingers Fl, NY 12590
Phone (845) 297-4789

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	035704	NY	Yes

Addresses

Primary practice location

2 Delavergne Ave
Wappingers Falls, NY 12590-1202

Mailing address

301 Manchester Rd
Suite 101
Poughkeepsie, NY 12603-2586
Phone (845) 454-4137

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 30, 2023.

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1124378757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MANCHESTER RD",
            "address_2": "SUITE 101",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032586",
            "telephone_number": "845-454-4137",
            "fax_number": "845-454-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DELAVERGNE AVE",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125901202",
            "telephone_number": "845-297-4789",
            "fax_number": "845-297-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK-DIVALENTINO",
        "first_name": "SARAH",
        "middle_name": "ANNE",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

All providers in Wappingers Falls, NY · Physical Therapist in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.