Active NPI
Rebecca Lynn Fishman, OTR/L
- Pediatric Occupational Therapist
- New York, NY
National Provider Identifier
1417211434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 017461-1
- Practice address
- 3 Stuyvesant Oval
Apartment # 10C
New York, NY 10009-2122 - Phone
- (917) 553-4302
- NPI assigned
- Jun 25, 2012
- Last updated
- Jul 18, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 017461-1 | NY | Primary |
Addresses
Primary practice location
3 Stuyvesant Oval
Apartment # 10C
New York, NY 10009-2122
Mailing address
3 Stuyvesant Oval
Apartment # 10C
New York, NY 10009-2122
Phone (917) 553-4302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017461-1 | Other | NY | LICENSE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 017461-1 | NY | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342569600000",
"number": "1417211434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 STUYVESANT OVAL",
"address_2": "APARTMENT # 10C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100092122",
"telephone_number": "917-553-4302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 STUYVESANT OVAL",
"address_2": "APARTMENT # 10C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100092122",
"telephone_number": "917-553-4302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHMAN",
"first_name": "REBECCA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-25",
"last_updated": "2012-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "017461-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "017461-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.