Individual provider Active NPI

Lorri Debernardis, OT

  • Occupational Therapist
  • Rumson, NJ
National Provider Identifier
1295340107
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00062500 Issued in NJ
Practice address
1 Bellevue Ave
Rumson, NJ 07760-1104
Phone
(732) 962-5462
NPI assigned
Sep 9, 2020
Last updated
Sep 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00062500 NJ Primary

Addresses

Primary practice location

1 Bellevue Ave
Rumson, NJ 07760-1104

Mailing address

1 Bellevue Ave
Rumson, NJ 07760-1104
Phone (732) 962-5462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210119000048 NJ Practitioner - Occupational Therapist in Private Practice 3971916677 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pearl Rehabilitation LLCGroup PAC ID 2466863915, 29 clinicians

Practice addresses (Care Compare)

Shrewsbury, NJ 07702
Phone (917) 406-0478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00062500NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Esd PT OT & SLP PLLC Occupational Therapist CurrentSince Jul 20, 2022 Accepting new patients
Pearl Rehabilitation LLC CurrentSince Jan 1, 2021 Accepting new patients
Shore Points Therapy, LLC CurrentSince Apr 20, 2024 Accepting new patients
Parker Creek Neurorehabilitation PastSince Jan 1, 2021 Accepting new patients

Locations

2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1295340107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BELLEVUE AVE",
            "city": "RUMSON",
            "state": "NJ",
            "postal_code": "077601104",
            "telephone_number": "732-962-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BELLEVUE AVE",
            "city": "RUMSON",
            "state": "NJ",
            "postal_code": "077601104",
            "telephone_number": "732-962-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBERNARDIS",
        "first_name": "LORRI",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00062500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rumson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.