Individual provider Active NPI

Danielle Taibi, OTR

  • Occupational Therapist
  • Ridgefield, CT
National Provider Identifier
1841724762
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4091 Issued in CT
Practice address
27 Governor St
Ridgefield, CT 06877-4657
Phone
(203) 438-7862
Fax
(844) 409-2349
NPI assigned
Apr 18, 2017
Last updated
Apr 18, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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 4091 CT Primary

Addresses

Primary practice location

27 Governor St
Ridgefield, CT 06877-4657

Mailing address

538 Bennetts Farm Rd
Ridgefield, CT 06877-2230
Phone (203) 403-5264

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170504000768 CT Practitioner - Occupational Therapist in Private Practice 0648557454 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Mercy College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab by Rvna LLCGroup PAC ID 2466747019, 25 clinicians
Rvnahealth, IncGroup PAC ID 7416990569, 29 clinicians

Practice addresses (Care Compare)

27 Governor St
Ridgefield, CT 06877-4608
Phone (203) 438-7862

27 Governor St
Ridgefield, CT 06877-4657
Phone (203) 438-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4091CTMDMental Health Counselor

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, 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": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1841724762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 BENNETTS FARM RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068772230",
            "telephone_number": "203-403-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 GOVERNOR ST",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774657",
            "telephone_number": "203-438-7862",
            "fax_number": "844-409-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIBI",
        "first_name": "DANIELLE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "4091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.