Individual provider Active NPI

Lauren Elise Rubincan, COTA

  • Occupational Therapy Assistant
  • Claymont, DE
National Provider Identifier
1336578574
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
U2-0001307 Issued in DE
Practice address
412 Mallard Cir
Claymont, DE 19703-3117
Phone
(302) 521-4438
NPI assigned
Nov 7, 2013
Last updated
Nov 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X U2-0001307 DE Primary

Addresses

Primary practice location

412 Mallard Cir
Claymont, DE 19703-3117

Mailing address

412 Mallard Cir
Claymont, DE 19703-3117
Phone (302) 521-4438

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
U2-0001307DEMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1336578574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 MALLARD CIR",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197033117",
            "telephone_number": "302-521-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 MALLARD CIR",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197033117",
            "telephone_number": "302-521-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINCAN",
        "first_name": "LAUREN",
        "middle_name": "ELISE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "DE",
            "license": "U2-0001307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claymont, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.

Verify at the official NPI Registry.