Active NPI
Erin Rubano, OT
- Occupational Therapist
- Newark, DE
National Provider Identifier
1326092719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- U10000946
- Practice address
- 4106 Ogletown Stanton Rd
Newark, DE 19713-4169 - Phone
- (302) 894-1600
- Fax
- (302) 894-1601
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 | U10000946 | DE | Primary |
Addresses
Primary practice location
4106 Ogletown Stanton Rd
Newark, DE 19713-4169
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326092719 | Other | CHAMPUS TRICARE | |
| 1326092719 | Medicaid | DE | |
| 5070-0093 | Other | MD | CARE FIRST |
| 2856756000 | Other | AMERIHEALTH/IBC | |
| 11353334 | Other | CAQH | |
| 88760504 | Other | MD | CARE FIRST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U10000946 | DE | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363910400000",
"number": "1326092719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223",
"fax_number": "630-759-3251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4106 OGLETOWN STANTON RD",
"city": "NEWARK",
"state": "DE",
"postal_code": "197134169",
"telephone_number": "302-894-1600",
"fax_number": "302-894-1601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBANO",
"first_name": "ERIN",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2013-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "DE",
"license": "U10000946",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS TRICARE",
"identifier": "1326092719",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1326092719",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST",
"identifier": "5070-0093",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH/IBC",
"identifier": "2856756000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11353334",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST",
"identifier": "88760504",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.