Connie Angela Derbabian, MA,P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

014297-1 Issued in NY

Practice address

78 Melrose Ave
Croton on Hudson, NY 10520-2642

Phone

(914) 271-8386

NPI assigned

Dec 1, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1730334970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 MELROSE AVE",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105202642",
            "telephone_number": "914-271-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 MELROSE AVE",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105202642",
            "telephone_number": "914-271-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERBABIAN",
        "first_name": "CONNIE",
        "middle_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "MA,P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "014297-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justine De Leon, LMSW
• Joseph John Degenova III, LCSW
• Jennifer Marie Dematteis, SLP
• Connie Maria Depinho, PHD
• Joyce Depuy, LPN
• Raymond Dicioccio, LCSW
• Ruxanda Silvia Dinca, N.P.
• Nicole K Dinis, SLP
• Jennifer Sue Dixon
• Donna Gerard Marder L.C.S.W., P.C.

• Pediatric Physical Therapist in Croton on Hudson, NY
• Providers in Croton on Hudson, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.