Samantha Lee Dibenedetto, BS, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

010671-01 Issued in NY

Practice address

4208 Terrace Dr
New Windsor, NY 12553-8480

Phone

(914) 275-3213

NPI assigned

Sep 12, 2021

Last updated

Sep 12, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1631404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631404800000",
    "number": "1417626466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 TERRACE DR",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125538480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 TERRACE DR",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125538480",
            "telephone_number": "914-275-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBENEDETTO",
        "first_name": "SAMANTHA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "BS, COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-12",
        "last_updated": "2021-09-12",
        "certification_date": "2021-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "010671-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marley Lauren Deutchman, LMHC
• Nimret Dev, D.O
• Richard Deverson
• Dina Devoe
• Luz Evita Diaz, RN
• Charlene Marie Digiacomo
• Tara Dirks
• Christine Ditoro
• Jenna Divenuto
• Eleanor F Doderer, LMSW

• Occupational Therapy Assistant in New Windsor, NY
• Providers in New Windsor, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2021; 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.