Active NPI
Lily Bernabe, OTR/L
- Occupational Therapist
- Brooklyn, CT
National Provider Identifier
1902511892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6064
- Practice address
- 44 Canterbury Rd
Brooklyn, CT 06234-1914 - Phone
- (860) 774-9050
- NPI assigned
- Jan 16, 2023
- Last updated
- Jan 16, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6064 | CT | Primary |
Addresses
Primary practice location
44 Canterbury Rd
Brooklyn, CT 06234-1914
Mailing address
68 Pine Hollow Dr
Southington, CT 06489-6014
Phone (860) 719-2288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
234 Mall Blvd
Suite G50
King of Prussia, PA 19406-2921
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6064 | CT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1902511892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 PINE HOLLOW DR",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "064896014",
"telephone_number": "860-719-2288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 CANTERBURY RD",
"city": "BROOKLYN",
"state": "CT",
"postal_code": "062341914",
"telephone_number": "860-774-9050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNABE",
"first_name": "LILY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-16",
"last_updated": "2023-01-16",
"certification_date": "2023-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "6064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.