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

MS. Heather Ann Dibiaso, OTR

Individual provider Occupational Therapist · NPI 1114146222

MS. Heather Ann Dibiaso, OTR is an Occupational Therapist in Private Practice in South Windsor, Connecticut. Qualified in 1999, 27 years ago. Licensed in Connecticut.

Years since qualifying
27
Licensed in
CT
In the registry since
2007
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1715 Ellington Rd
South Windsor, CT 06074-2707
Phone: (860) 644-4408
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 002612 (CT)

Record details

NPI number1114146222
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedApril 25, 2007
Last updated in NPPESNovember 27, 2024
Certification dateNovember 27, 2024

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Not indicated

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