Active NPI
Danielle Lebeau
- Occupational Therapist
- Delmar, NY
National Provider Identifier
1447650221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 027696
- Practice address
- 467 Delaware Ave
Delmar, NY 12054-3400 - Phone
- (518) 641-0958
- Fax
- (631) 467-0928
- NPI assigned
- Aug 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 027696 | NY | Primary |
Addresses
Primary practice location
467 Delaware Ave
Delmar, NY 12054-3400
Mailing address
2222 Sullivan TRL
Easton, PA 18040-7958
Phone (516) 492-5708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
467 Delaware Ave
Delmar, NY 12054-3400
Phone (518) 641-0958
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027696 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PRN Physical, Occupational and Speech Therapy Network, PLLC | Current | Accepting new patients | |
| Floorish Pelvic Health LLC | Occupational Therapist | Current | Accepting new patients |
| PRN Physical, Occupational and Speech Therapy Network, PLLC | Current | Accepting new patients |
Locations
300 Mill Rose Ct
Slingerlands, NY 12159
Phone (518) 218-0506
2222 Sullivan Trl
Ste 105
Easton, PA 18040
Phone (574) 261-7058
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.
-
- Physical Therapist
- East Greenbush, NY
- NPI 1336185263
-
- Occupational Therapist
- Schenectady, NY
- NPI 1982470209
-
- Durable Medical Equipment & Medical Supplies
- Troy, NY
- NPI 1568059665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684454400000",
"number": "1447650221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 SULLIVAN TRL",
"city": "EASTON",
"state": "PA",
"postal_code": "180407958",
"telephone_number": "516-492-5708",
"fax_number": "631-467-0928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "467 DELAWARE AVE",
"city": "DELMAR",
"state": "NY",
"postal_code": "120543400",
"telephone_number": "518-641-0958",
"fax_number": "631-467-0928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBEAU",
"first_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-28",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "027696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delmar, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.