Individual provider Active NPI

Christopher Pearce Dibenedetto, LOTR

  • Occupational Therapist
  • New Orleans, LA
National Provider Identifier
1639899313
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
331798 Issued in LA
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

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
331798LAMDOccupational 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.

Verify at the official NPI Registry.