Active NPI
Christopher Pearce Dibenedetto, LOTR
- Occupational Therapist
- New Orleans, LA
National Provider Identifier
1639899313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 331798
- Practice address
- 8300 Earhart Blvd # 100
New Orleans, LA 70118-4428 - Phone
- (225) 270-0566
- NPI assigned
- Sep 1, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 331798 | LA | Primary |
Addresses
Primary practice location
8300 Earhart Blvd # 100
New Orleans, LA 70118-4428
Mailing address
4317 Banks St
New Orleans, LA 70119-6716
Phone (225) 270-0566
Other practice location 1
478 S. Johnston Street
New Orleans, LA 70112
Phone (504) 412-1517
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | cdibenedetto@cranerehab.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 331798 | LA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661990400000",
"number": "1639899313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4317 BANKS ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701196716",
"telephone_number": "225-270-0566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 EARHART BLVD # 100",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701184428",
"telephone_number": "225-270-0566"
}
],
"practiceLocations": [
{
"address_1": "478 S. Johnston Street",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "70112",
"country_code": "US",
"telephone_number": "504-412-1517",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIBENEDETTO",
"first_name": "CHRISTOPHER",
"middle_name": "PEARCE",
"credential": "LOTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-01",
"last_updated": "2022-09-01",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "331798",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "cdibenedetto@cranerehab.com",
"affiliation": "N",
"endpointDescription": "Company website email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8300 Earhart Blvd # 100",
"city": "New Orleans",
"state": "LA",
"country_code": "US",
"postal_code": "701184428",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.