Individual provider Active NPI

Rivkah Kohanov

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1639861909
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
027662 Issued in NY
Practice address
561 Utica Ave
Brooklyn, NY 11203-1916
Phone
(305) 987-3636
NPI assigned
May 24, 2023
Last updated
Jun 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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 027662 NY Primary

Addresses

Primary practice location

561 Utica Ave
Brooklyn, NY 11203-1916

Mailing address

14753 77TH Rd
Flushing, NY 11367-3428
Phone (646) 704-7218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241219001419 NY Practitioner - Occupational Therapist in Private Practice 6901333624 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027662NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Associates PT and OT, PLLC Occupational Therapist CurrentSince Dec 1, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1639861909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14753 77TH RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673428",
            "telephone_number": "646-704-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031916",
            "telephone_number": "305-987-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHANOV",
        "first_name": "RIVKAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "027662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.