Individual provider Active NPI

Jeniffer M Casolini Dal Bo, OTR

  • Hand Occupational Therapist
  • Buffalo, NY
National Provider Identifier
1497849137
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
0122161 Issued in NY
Practice address
700 Michigan Ave
Buffalo, NY 14203
Phone
(716) 854-5700
Fax
(716) 854-5800
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 0122161 NY Primary

Addresses

Primary practice location

700 Michigan Ave
Buffalo, NY 14203

Mailing address

3457 E.Church Street
Eden, NY 14057
Phone (716) 992-2208

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071221000422 NY Practitioner - Occupational Therapist in Private Practice 9436249802 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Orthopedic and Spine Specialists, LLCGroup PAC ID 5799888004, 15 clinicians

Practice addresses (Care Compare)

700 Michigan Ave
Buffalo, NY 14203-1536
Phone (716) 854-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0122161NYMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hand & Rehabilitation Specialists OT PT SLP PLLC Hand CurrentSince Nov 1, 2013 Accepting new patients

Locations

5144 Sheridan Dr
Ste 2
Williamsville, NY 14221
Phone (716) 631-5224

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497849137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3457 E.CHURCH STREET",
            "city": "EDEN",
            "state": "NY",
            "postal_code": "14057",
            "telephone_number": "716-992-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MICHIGAN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14203",
            "telephone_number": "716-854-5700",
            "fax_number": "716-854-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASOLINI DAL BO",
        "first_name": "JENIFFER",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NY",
            "license": "0122161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.