National Provider Identifier

Darrell James Whitbeck, OT

Darrell James Whitbeck, OT is listed in the NPPES registry with a primary specialty of Occupational Therapist in Canandaigua, NY and a listed phone number of (585) 394-9510.

NPI 1487718300Canandaigua, NYOccupational Therapist

Profile Overview

NPI
1487718300
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
December 22, 2006
Last Updated
December 10, 2015

Practice Location

  • 5415 N Bloomfield RD
  • Happiness House
  • Canandaigua, NY 14424-7964

Phone: (585) 394-9510

Mailing Address

  • 55 Groton Pkwy
  • Rochester, NY 14623-4532

Specialties

  • Occupational Therapist (225X00000X)
  • Neurorehabilitation Occupational Therapist (225XN1300X)
  • Pediatric Occupational Therapist (225XP0200X)
Full Record
NPI
1487718300
Entity Type
Individual
Last Name
Whitbeck
First Name
Darrell
Middle Name
James
Name Prefix
Mr.
Credential
OT
Mailing Street Address
55 Groton Pkwy
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623-4532
Mailing Country
US
Practice Street Address
5415 N Bloomfield RD
Practice Address Line 2
Happiness House
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-7964
Practice Country
US
Practice Phone
(585) 394-9510
Practice Fax
(585) 394-5326
Enumeration Date
December 22, 2006
Last Updated
December 10, 2015
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X), Neurorehabilitation Occupational Therapist (225XN1300X), Pediatric Occupational Therapist (225XP0200X)
Other Identifiers
01635592 (NY)