NPIMap

Organization Active NPI

Ability Beyond Disability

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Chappaqua, NY
National Provider Identifier
1629148259
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
5946201R
Legal business name
ABILITY BEYOND DISABILITY
Practice address
480 Bedford Road
Chappaqua, NY 10514
Phone
(914) 242-8720
Fax
(914) 242-8762
NPI assigned
Nov 9, 2006
Last updated
Sep 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Lori I Pasqualini
Title
V.P & C.a.F.O
Phone
(203) 775-4700

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 5946201R NY
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5946201R NY
Neurorehabilitation Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XN1300X 5946201R NY
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 5946201R NY
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 5946201R Primary

Addresses

Primary practice location

480 Bedford Road
Chappaqua, NY 10514

Mailing address

4 Berkshire Blvd
Bethel, CT 06801-1001
Phone (203) 775-4700

Other identifiers 1

IdentifierTypeStateIssuer
01827967MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070328000087 NY Part B Supplier - Clinic/Group Practice 1355366170 Receives reassigned benefits from 10 practitioners
Practice locations: Chappaqua, NY
O20180409000564 NY Part A Provider - Comprehensive Outpatient Rehabilitation Facility 1355366170 Practice locations: Chappaqua, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629148259. Details of each certification follow.

  • CCN 334525 Comprehensive outpatient rehabilitation facility · Active · Name & address match · Details

Comprehensive outpatient rehabilitation facility certification: CCN 334525

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ABILITY BEYOND DISABILITY
Certification status
Active
Provider type (POS)
Comprehensive outpatient rehabilitation facility
Participating since
Oct 7, 1997
Last certification
Jan 25, 2013
Ownership / control type
NON PROFIT OTHER
Facility address
480 Bedford Road
Chappaqua, NY 10514

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1629148259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BERKSHIRE BLVD",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011001",
            "telephone_number": "203-775-4700",
            "fax_number": "203-775-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 BEDFORD ROAD",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "10514",
            "telephone_number": "914-242-8720",
            "fax_number": "914-242-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILITY BEYOND DISABILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "PASQUALINI",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "V.P & C.A.F.O",
        "authorized_official_telephone_number": "203-775-4700"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "5946201R",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "5946201R",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NY",
            "license": "5946201R",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "5946201R",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": "5946201R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01827967",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chappaqua, NY

Sources for this page

Verify at the official NPI Registry.