Active NPI
Beth M Tarduno
- Environmental Modification Occupational Therapist
- Rochester, NY
National Provider Identifier
1861168940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Environmental Modification Occupational Therapist
- License
- 0853956
- Practice address
- 74 Oakdale Dr
Rochester, NY 14618-1120 - Phone
- (585) 451-6585
- NPI assigned
- Aug 19, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Environmental Modification Occupational Therapist | 225XE0001X | 0853956 | NY | Primary |
Addresses
Primary practice location
74 Oakdale Dr
Rochester, NY 14618-1120
Mailing address
74 Oakdale Dr
Rochester, NY 14618-1120
Phone (585) 451-6585
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 |
|---|---|---|---|
| 0853956 | NY | MD | Environmental Modification Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1861168940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 OAKDALE DR",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146181120",
"telephone_number": "585-451-6585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 OAKDALE DR",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146181120",
"telephone_number": "585-451-6585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARDUNO",
"first_name": "BETH",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-19",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225XE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Environmental Modification",
"state": "NY",
"license": "0853956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.