Individual provider Active NPI

Daniel Chernoff, OTR

  • Occupational Therapist
  • Baltimore, MD
National Provider Identifier
1225413404
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
07723 Issued in MD
Practice address
3118 Marnat Rd
Baltimore, MD 21208
Phone
(410) 585-0343
NPI assigned
Jul 29, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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 07723 MD Primary

Addresses

Primary practice location

3118 Marnat Rd
Baltimore, MD 21208

Mailing address

3118 Marnat Rd
Baltimore, MD 21208-4503
Phone (410) 585-0343

Other practice location 1

3030 Fallstaff Rd
Baltimore, MD 21209-2916
Phone (410) 585-0343

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190919000956 MD Practitioner - Occupational Therapist in Private Practice 5294065116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back Home TherapyGroup PAC ID 4385974203, 4 clinicians

Practice addresses (Care Compare)

3101 Fallstaff Rd
Baltimore, MD 21209-2967
Phone (410) 415-3743

3118 Marnat Rd
Baltimore, MD 21208-4503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07723MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Back Home Therapy Occupational Therapist CurrentSince May 17, 2019 Accepting new patients
Back Home Therapy Past Accepting new patients
Back Home Therapy Occupational Therapist Past Accepting new patients
Back Home Therapy Occupational Therapist Past Accepting new patients

Organizations & group practices 4

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": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1225413404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 MARNAT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212084503",
            "telephone_number": "410-585-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 MARNAT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-585-0343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3030 Fallstaff Rd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212092916",
            "country_code": "US",
            "telephone_number": "410-585-0343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERNOFF",
        "first_name": "DANIEL",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-29",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "07723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.