Mary Carolyn Divita, OTR

Primary specialty

SpecialistTaxonomy code 174400000X

License

0037741 Issued in NY

Practice address

355 Harlem Rd
West Seneca, NY 14224-1825

Phone

(716) 821-7182

NPI assigned

Sep 24, 2011

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1316822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316822400000",
    "number": "1316220486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ANDOVER LN",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213365",
            "telephone_number": "716-634-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 HARLEM RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241825",
            "telephone_number": "716-821-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVITA",
        "first_name": "MARY",
        "middle_name": "CAROLYN",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-24",
        "last_updated": "2011-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "0037741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "0037741",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura N Digiulio, PA
• Nebridio Mario Dinardo, DMD
• Kathryn Marie Dipasquale, LCSW
• Rhonda Marie Dipronio, MSW
• Eric M Diramio, D.C.
• Dobe Mobility Assessments
• Scott R Dobe, P.T.,D.P.T.
• Kimberly Dobiesz, RPH
• Tarah Marie Dolce, D.C.
• Alesha Ann Domon, R.N.

• Specialist in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.