Dragon Occupational Therapy P.C.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

014632-1 Issued in NY

Legal business name

DRAGON OCCUPATIONAL THERAPY P.C.

Practice address

8115 Queens Blvd Apt 7a
Elmhurst, NY 11373-3778

Phone

(917) 755-1953

NPI assigned

Jan 9, 2013

Last updated

Jan 10, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Samuel Rafol Rabino Jr., OTR/LNPI 1275779019

Title

President

Phone

(917) 755-1953

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Rafol Rabino Jr., OT

  • Occupational Therapist
  • Rockaway Park, NY
  • NPI 1275779019
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1316284482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8115 QUEENS BLVD APT 7A",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733778",
            "telephone_number": "917-755-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 QUEENS BLVD APT 7A",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733778",
            "telephone_number": "917-755-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGON OCCUPATIONAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "RABINO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "RAFOL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-755-1953",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "014632-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.