Individual provider Active NPI

Sarah Bienenfeld

  • Occupational Therapist
  • Philadelphia, PA
National Provider Identifier
1992107460
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00663400 Issued in NJ
Practice address
3502 Scotts LN
Suite 711
Philadelphia, PA 19129-1561
Phone
(917) 753-0984
NPI assigned
Sep 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 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 46TR00663400 NJ Primary

Addresses

Primary practice location

3502 Scotts LN
Suite 711
Philadelphia, PA 19129-1561

Mailing address

3502 Scotts LN
Suite 711
Philadelphia, PA 19129-1561
Phone (917) 753-0984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141104001294 NJ Practitioner - Occupational Therapist in Private Practice 1951523117 Reassigns benefits to 1 organization
I20231214002889 NY Practitioner - Occupational Therapist in Private Practice 1951523117 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Homeside Rehab, PT, OT, SLP LLC CurrentSince Aug 3, 2022 Accepting new patients
Kutest Kids Early Intervention Co. PastSince May 1, 2022 Accepting new patients

Locations

441 Route 306
Ste 2
Monsey, NY 10952
Phone (201) 952-4436

296 Route 59
Ste 1225
Suffern, NY 10901

Organizations & group practices 3

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": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1992107460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 SCOTTS LN",
            "address_2": "SUITE 711",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291561",
            "telephone_number": "917-753-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 SCOTTS LN",
            "address_2": "SUITE 711",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291561",
            "telephone_number": "917-753-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIENENFELD",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00663400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.