Beth Dipersio

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

008860 Issued in NY

Practice address

345 Northern Blvd
Albany, NY 12204-1001

Phone

(518) 641-0958

Fax

(518) 641-0958

NPI assigned

Dec 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Beth Bullard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Weston Paxxon PT, OT & SLP, PLLC

  • Occupational Therapist
  • Queensbury, NY
  • NPI 1205154861
  NPD (past)

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1316452980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PEACHTREE CT STE 105",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414616",
            "telephone_number": "631-467-3700",
            "fax_number": "631-467-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 NORTHERN BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041001",
            "telephone_number": "518-641-0958",
            "fax_number": "518-641-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPERSIO",
        "first_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "008860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "BULLARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carolyn Adele Dinoris, MD
• Michele Dinovo, MASSAGE THERAPIST
• Raul L. Diokno, M.D.
• Eva Charlotte Dion-Gaarde, MS.ED
• Sana Dipace
• Amanda Dipierro, N.P.
• John Dipreta, M.D.
• Amy B Diramio, LCSW-R
• Direct Care NP in Family Health PLLC
• Darryl John Dirisio, M.D.

• Occupational Therapist in Albany, NY
• Providers in Albany, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.