Individual provider Active NPI

Yefim Paykin, OTR/L

  • Occupational Therapist
  • Staten Island, NY
National Provider Identifier
1053679878
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17243-1 Issued in NY
Practice address
66 Farrell CT
Staten Island, NY 10306-2085
Phone
(718) 351-4913
NPI assigned
Apr 30, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 17243-1 NY Primary

Addresses

Primary practice location

66 Farrell CT
Staten Island, NY 10306-2085

Mailing address

66 Farrell CT
Staten Island, NY 10306-2085
Phone (718) 351-4913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190502001230 NY Practitioner - Occupational Therapist in Private Practice 7810239381 Reassigns benefits to 6 organizations
Practice locations: Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Core Therapy Services PT OT PLLCGroup PAC ID 4587041512, 28 clinicians

Practice addresses (Care Compare)

Brooklyn, NY 11224
Phone (718) 502-7037

2003 Coney Island Ave
Brooklyn, NY 11223-2328
Phone (347) 394-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17243-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab on Wheels OT PT PLLC Occupational Therapist CurrentSince Sep 4, 2021 Accepting new patients
Advanced Physical Therapy of New York PLLC CurrentSince Mar 29, 2022 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Occupational Therapist CurrentSince Jun 7, 2021 Accepting new patients
Core Therapy Services PT OT PLLC Occupational Therapist CurrentSince May 1, 2022 Accepting new patients
Esd PT OT & SLP PLLC Occupational Therapist CurrentSince Apr 1, 2022 Accepting new patients
Prokinetics Physical Therapy P.C. CurrentSince Jul 5, 2023 Accepting new patients
All Pro Occupational Therapist PC Occupational Therapist CurrentSince Jan 1, 2024 Accepting new patients
Bienetre Medical PC Occupational Therapist PastSince Mar 29, 2022 Accepting new patients

Locations

174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199

2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600

626 Sheepshead Bay Rd
Ste 430
Brooklyn, NY 11224
Phone (718) 372-7300

2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1053679878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 FARRELL CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062085",
            "telephone_number": "718-351-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 FARRELL CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062085",
            "telephone_number": "718-351-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYKIN",
        "first_name": "YEFIM",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "17243-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.