Provider Demographics
NPI:1952920993
Name:BERNARDINI, PAIGE LAURA (OTR)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:LAURA
Last Name:BERNARDINI
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:LAURA
Other - Last Name:FRANCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:165 COMMONWEALTH ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-4217
Mailing Address - Country:US
Mailing Address - Phone:516-306-5515
Mailing Address - Fax:
Practice Address - Street 1:820 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:FRANKLIN SQUARE
Practice Address - State:NY
Practice Address - Zip Code:11010-4339
Practice Address - Country:US
Practice Address - Phone:516-358-8911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-09
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024651225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist