Individual provider Active NPI

Annmarie Dawn Raefski, MD

  • Occupational Therapist
  • Huntington, NY
National Provider Identifier
1881119337
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
021559-1 Issued in NY
Practice address
70 Greenlawn Rd
Huntington, NY 11743-2929
Phone
(631) 427-7685
NPI assigned
Aug 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 021559 NY
Occupational Therapist 225X00000X 021559-1 NY Primary

Addresses

Primary practice location

70 Greenlawn Rd
Huntington, NY 11743-2929

Mailing address

3 Leland St
East Northport, NY 11731-1924
Phone (631) 935-4131

Other practice location 1

150 Sunnyside Blvd
Plainview, NY 11803-1504
Phone (856) 705-1907

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170914000487 NY Practitioner - Occupational Therapist in Private Practice 3678847662 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Achieve at Home Physical Therapy PLLCGroup PAC ID 4789071903, 17 clinicians

Practice addresses (Care Compare)

25 Strathmore Rd
Great Neck, NY 11023-1035
Phone (516) 500-8998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
021559NYMDDental Hygienist
021559-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve at Home Physical Therapy PLLC CurrentSince Sep 17, 2023 Accepting new patients
Link Home Therapy Services of Ny-PT OT SLP PLLC CurrentSince Oct 1, 2021 Accepting new patients
The Traveling Physical Therapist CurrentSince Dec 19, 2020 Accepting new patients

Locations

180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

150 Vets Hwy
Unit 141
Commack, NY 11725
Phone (646) 733-4737

108 S Franklin Ave
Ste 10
Valley Stream, NY 11580

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": "1501977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1881119337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LELAND ST",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117311924",
            "telephone_number": "631-935-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 GREENLAWN RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432929",
            "telephone_number": "631-427-7685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Sunnyside Blvd",
            "address_purpose": "LOCATION",
            "city": "Plainview",
            "state": "NY",
            "postal_code": "118031504",
            "country_code": "US",
            "telephone_number": "856-705-1907",
            "fax_number": "855-637-5934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAEFSKI",
        "first_name": "ANNMARIE",
        "middle_name": "DAWN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-06",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NY",
            "license": "021559",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "021559-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.