Healthcare Provider Details

I. General information

NPI: 1629148259
Provider Name (Legal Business Name): ABILITY BEYOND DISABILITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 09/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 BEDFORD ROAD
CHAPPAQUA NY
10514
US

IV. Provider business mailing address

4 BERKSHIRE BLVD
BETHEL CT
06801-1001
US

V. Phone/Fax

Practice location:
  • Phone: 914-242-8720
  • Fax: 914-242-8762
Mailing address:
  • Phone: 203-775-4700
  • Fax: 203-775-5734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number5946201R
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5946201R
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number5946201R
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number5946201R
License Number StateNY
# 5
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number5946201R
License Number State

VIII. Authorized Official

Name: LORI I PASQUALINI
Title or Position: V.P & C.A.F.O
Credential:
Phone: 203-775-4700