Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cora Petrino

Individual provider Occupational Therapist · NPI 1154049831

Cora Petrino is an Occupational Therapist in Private Practice in Suffolk, Virginia. Qualified in 2020, 6 years ago. Practices with Sand Coast Rehab Physical Therapy Inc, a 132-clinician group and accepts Medicare assignment. Licensed in Connecticut and Virginia.

Years since qualifying
6
Licensed in
CT, VA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

5871 Harbour View Blvd
Suffolk, VA 23435-3669
Phone: (757) 512-7570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5656 (CT)
Occupational Therapist Taxonomy 225X00000X · Licence 0119-009650 (VA)

Record details

NPI number1154049831
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 18, 2022
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023
Mailing address107 Old Cart Rd, Haddam, CT 06438-1271

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sand Coast Rehab Physical Therapy Inc — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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