Individual provider Active NPI

Elina Rafailova, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1770940447
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
020284 Issued in NY
Practice address
53 Bay 25TH St
2ND Floor
Brooklyn, NY 11214-3903
Phone
(347) 350-7411
NPI assigned
Jan 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 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 020284 NY Primary

Addresses

Primary practice location

53 Bay 25TH St
2ND Floor
Brooklyn, NY 11214-3903

Mailing address

53 Bay 25TH St
2ND Floor
Brooklyn, NY 11214-3903
Phone (347) 350-7411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231213001857 FL Practitioner - Occupational Therapist in Private Practice 8628376977 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lymphatx IncGroup PAC ID 4183647134, 10 clinicians

Practice addresses (Care Compare)

7000 W Palmetto Park Rd
Suite 210
Boca Raton, FL 33433-3430
Phone (561) 566-1116

7301 W Palmetto Park Rd
Suite 101C
Boca Raton, FL 33433-3455
Phone (561) 392-5131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
F.I.T. PT, LLC Occupational Therapist CurrentSince Nov 30, 2023 Accepting new patients
Homeside Rehab Florida LLC Occupational Therapist CurrentSince Jan 11, 2024 Accepting new patients
Lymphatx Inc Occupational Therapist CurrentSince Apr 3, 2025 Accepting new patients
Ellas OT PC Occupational Therapist Current Accepting new patients
Lymphatx Inc CurrentSince Apr 3, 2025 Accepting new patients

Locations

950 Peninsula Corporate Cir
Ste 3004
Boca Raton, FL 33487
Phone (561) 501-1983

7000 W Palmetto Park Rd
Ste 210
Boca Raton, FL 33433
Phone (561) 409-4490

7301 W Palmetto Park Rd
Ste 101C
Boca Raton, FL 33433
Phone (561) 392-5131

3846 Flatlands Ave
Brooklyn, NY 11234
Phone (347) 875-0806

Organizations & group practices 5

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": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1770940447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 BAY 25TH ST",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143903",
            "telephone_number": "347-350-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 BAY 25TH ST",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143903",
            "telephone_number": "347-350-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFAILOVA",
        "first_name": "ELINA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "020284",
            "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 Jan 26, 2016; 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.