Individual provider Active NPI

Robert Mario Dibartolomeo

  • Music Therapist
  • Harrisburg, PA
National Provider Identifier
1942885769
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
License
14962 Issued in PA
Practice address
4601 Locust LN Ste 202
Harrisburg, PA 17109-4445
Phone
(717) 526-2111
NPI assigned
Mar 12, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X 14962 PA Primary

Addresses

Primary practice location

4601 Locust LN Ste 202
Harrisburg, PA 17109-4445

Mailing address

320 Ivy Rock LN
Havertown, PA 19083-2721
Phone (484) 844-5242

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

LicenseStateTypeSpecialty
14962PAMDMusic Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Living Unlimited Inc PastSince Mar 16, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1942885769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 IVY ROCK LN",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832721",
            "telephone_number": "484-844-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 LOCUST LN STE 202",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094445",
            "telephone_number": "717-526-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBARTOLOMEO",
        "first_name": "ROBERT",
        "middle_name": "MARIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "PA",
            "license": "14962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.

Verify at the official NPI Registry.