Sara Elizabeth Dibernardo, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

015698-1 Issued in NY

Practice address

15 Croft Rd
Spackenkill Union Free School District- OT
Poughkeepsie, NY 12603-4917

Phone

(845) 463-7808

NPI assigned

Oct 29, 2009

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 names 1

• Sara Elizabeth Rogers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Spackenkill Ufsd

  • Local Education Agency (LEA)
  • Poughkeepsie, NY
  • NPI 1932255445
  NPD (past)

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1538495338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MAIN ST",
            "city": "NEW HAMBURG",
            "state": "NY",
            "postal_code": "125905520",
            "telephone_number": "914-456-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CROFT RD",
            "address_2": "SPACKENKILL UNION FREE SCHOOL DISTRICT- OT",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126034917",
            "telephone_number": "845-463-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBERNARDO",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-29",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015698-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "ROGERS",
            "middle_name": "ELIZABETH",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Allana Nicole Dickeson
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• Audrey Diloremzo, LPN

• Occupational Therapist in Poughkeepsie, NY
• Providers in Poughkeepsie, 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 Nov 8, 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.