Rita Mae Tan, OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

008595-1 Issued in NY

Practice address

11515 101St Ave
South Richmond Hill, NY 11419-1247

Phone

(718) 441-5333

NPI assigned

Sep 29, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Heartshare

  • Early Intervention Provider Agency
  • South Richmond Hill, NY
  • NPI 1801264635
  NPD (past)

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1700195302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11203 111TH AVE",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114201118",
            "telephone_number": "718-738-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11515 101ST AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191247",
            "telephone_number": "718-441-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "RITA",
        "middle_name": "MAE",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "008595-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE NUMBER",
            "identifier": "008595-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frances Bello Sycip, PHARM. D
• Denise S Szandrowski, MD
• T&D Medical Supplies Inc
• Rana Tahir
• Jocelyn Tan, O.D.
• Michael Tanlioco, PHYSICAL THERAPIST
• Shelby Tharakan
• The Tarbiyah Inc
• Therapy Care Pta P.C.
• Jeremiah Thyagaraj, MD

• Pediatric Occupational Therapist in South Richmond Hill, NY
• Providers in South Richmond Hill, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.