Frederick John Dibernardo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0188031 Issued in NY

Practice address

1100 Route 55
Suite 101
Lagrangeville, NY 12540-5017

Phone

(845) 471-2423

Fax

(845) 471-2776

NPI assigned

Oct 11, 2006

Sex

Male

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Pleasant Valley Physical Therapy LLC

  • Physical Therapist
  • La Grangeville, NY
  • NPI 1164448049
  Medicare reassignment NPD Authorized official
• Bienetre Medical PC

  • Physical Therapist
  • New York, NY
  • NPI 1568037257
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861580938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ROUTE 55",
            "address_2": "SUITE 101",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ROUTE 55",
            "address_2": "SUITE 101",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405017",
            "telephone_number": "845-471-2423",
            "fax_number": "845-471-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBERNARDO",
        "first_name": "FREDERICK",
        "middle_name": "JOHN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0188031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Tree Nurse Practitioner in Psychiatry, PLLC
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• Heather Dennis
• Brittney Depaola, CCC-SLP
• Amalia Dingee
• Dra Imaging, PC
• Yvonne Ann Egitto, P.T.
• Serena Eljamal
• Tara S. Eng

• Physical Therapist in Lagrangeville, NY
• Providers in Lagrangeville, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.