Active NPI
Samuel Rafol Rabino Jr., OT
- Occupational Therapist
- Rockaway Park, NY
National Provider Identifier
1275779019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 014632
- Practice address
- 11432 Rockaway Beach Blvd
Rockaway Park, NY 11694-2302 - Phone
- (718) 318-0090
- NPI assigned
- Dec 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 014632 | NY | Primary |
Addresses
Primary practice location
11432 Rockaway Beach Blvd
Rockaway Park, NY 11694-2302
Mailing address
11432 Rockaway Beach Blvd
Rockaway Park, NY 11694-2302
Phone (718) 318-0090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8523 Broadway
Unit 1C D
Elmhurst, NY 11373-5866
Phone (718) 326-3601
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014632 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dragon Occupational Therapy P.C. | Occupational Therapist | Current | Accepting new patients |
| Antioquia Chiropractic P.C | Current | Accepting new patients | |
| Health Pro OT, PC | Occupational Therapist | Past | Accepting new patients |
| Oasis Nurse Practitioner in Adult Health PC | Past | Accepting new patients |
Locations
13616 35th Ave
Ste 1D
Flushing, NY 11354
Phone (718) 939-8600
7517 Metropolitan Ave
Middle Vlg, NY 11379
Phone (718) 326-0400
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
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.
-
- Occupational Therapist
- Elmhurst, NY
- NPI 1316284482
-
- Chiropractor
- Forest Hills, NY
- NPI 1801396353
-
- Occupational Therapist
- Brooklyn, NY
- NPI 1659782720
-
- Health Service Clinic/Center
- Elmhurst, NY
- NPI 1225579170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230508800000",
"number": "1275779019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11432 ROCKAWAY BEACH BLVD",
"city": "ROCKAWAY PARK",
"state": "NY",
"postal_code": "116942302",
"telephone_number": "718-318-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11432 ROCKAWAY BEACH BLVD",
"city": "ROCKAWAY PARK",
"state": "NY",
"postal_code": "116942302",
"telephone_number": "718-318-0090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABINO",
"first_name": "SAMUEL",
"middle_name": "RAFOL",
"name_suffix": "Jr.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-29",
"last_updated": "2008-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "014632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockaway Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.