Individual provider Active NPI

Rachel Pauline Adelsberg, MS, OTR/L

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1487084471
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
017922 Issued in NY
Practice address
320 E 65TH St
Suit 117
New York, NY 10065-6743
Phone
(212) 249-2588
Fax
(212) 249-2594
NPI assigned
Nov 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 017922 NY Primary

Addresses

Primary practice location

320 E 65TH St
Suit 117
New York, NY 10065-6743

Mailing address

75 W End Ave
Apt. R11B
New York, NY 10023-7853
Phone (609) 602-6651

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
017922NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lori Golden Ma-CCC, SLP & Robin Bump, PT PLLC Past Accepting new patients
Making Milestones Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1487084471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W END AVE",
            "address_2": "APT. R11B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237853",
            "telephone_number": "609-602-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E 65TH ST",
            "address_2": "SUIT 117",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656743",
            "telephone_number": "212-249-2588",
            "fax_number": "212-249-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELSBERG",
        "first_name": "RACHEL",
        "middle_name": "PAULINE",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-12",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "017922",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 12, 2016; 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.