Individual provider Active NPI

Rachelle Birnbaum, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1699381582
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
023590 Issued in NY
Practice address
1415 60TH St
Brooklyn, NY 11219-5021
Phone
(646) 462-2521
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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 023590 NY Primary

Addresses

Primary practice location

1415 60TH St
Brooklyn, NY 11219-5021

Mailing address

1246 E 22ND St
Brooklyn, NY 11210-4515
Phone (646) 462-2521

Other names 1

  • Mrs. Rachelle Goldwag Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211119000446 NY Practitioner - Occupational Therapist in Private Practice 8820487457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliable Occupational Therapy, PCGroup PAC ID 8123091238, 7 clinicians

Practice addresses (Care Compare)

7610 13TH Ave
Suite 7612
Brooklyn, NY 11228-2446
Phone (718) 234-5091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reliable Occupational Therapy, PC Occupational Therapist CurrentSince Sep 14, 2021 Accepting new patients
Rehab on Wheels OT PT PLLC Occupational Therapist CurrentSince Sep 16, 2024 Accepting new patients
Prokinetics Physical Therapy P.C. CurrentSince Sep 16, 2024 Accepting new patients

Locations

7605 13th Ave
Brooklyn, NY 11228
Phone (718) 234-5091

1301 57th St
Brooklyn, NY 11219
Phone (718) 283-3640

174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455

8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199

7610 13th Ave
#7612
Brooklyn, NY 11228
Phone (718) 234-5091

Organizations & group practices 3

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": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1699381582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 E 22ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104515",
            "telephone_number": "646-462-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 60TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195021",
            "telephone_number": "646-462-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRNBAUM",
        "first_name": "RACHELLE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "023590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHELLE",
            "last_name": "GOLDWAG",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.