Individual provider Active NPI

Debra Guarneri, OTR/L

  • Occupational Therapist
  • Troy, NY
National Provider Identifier
1780044065
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
9027881 Issued in NY
Practice address
79 102ND St
Troy, NY 12180-1125
Phone
(518) 273-6600
Fax
(518) 273-9567
NPI assigned
Mar 1, 2016
Last updated
Mar 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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 9027881 NY Primary

Addresses

Primary practice location

79 102ND St
Troy, NY 12180-1125

Mailing address

6 Rosewood CT
Ballston Spa, NY 12020-1935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200407003021 NY Practitioner - Occupational Therapist in Private Practice 9830528181 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9027881NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Occupational and Physical Therapy Speech Language CurrentSince Feb 20, 2020 Accepting new patients
Center for Disability Services, Inc Past Accepting new patients

Locations

81 Mohawk St
Cohoes, NY 12047
Phone (518) 220-9933

81 Mohawk St
Fl 2
Cohoes, NY 12047

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1780044065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ROSEWOOD CT",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120201935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 102ND ST",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121801125",
            "telephone_number": "518-273-6600",
            "fax_number": "518-273-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARNERI",
        "first_name": "DEBRA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "9027881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.