Russ Todd Tavroff, OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

012002-1 Issued in NY

Practice address

58 Thompson Ave
Oceanside, NY 11572-5016

Phone

(516) 448-6359

Fax

(718) 763-4446

NPI assigned

Feb 10, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Priority One Therapy PT OT SLP PLLC

  • Rehabilitation Practitioner
  • Oceanside, NY
  • NPI 1447517453
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1902179708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 THOMPSON AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725016",
            "telephone_number": "516-448-6359",
            "fax_number": "718-763-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 THOMPSON AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725016",
            "telephone_number": "516-448-6359",
            "fax_number": "718-763-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVROFF",
        "first_name": "RUSS",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NY",
            "license": "012002-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sweet Nutrition Nyc, LLC
• Sana Tahir, OD
• Sara Tannenbaum
• Gideon Phillip Tarrash, DPM
• Lucille Patricia Taverna, MD
• Shari Meredith Tavroff, OTR/L
• Michael Teitcher, MD
• Celine K Teoh
• Shelly Thai
• Chandni Thakkar, PA-C

• Physical Rehabilitation Occupational Therapist in Oceanside, NY
• Providers in Oceanside, NY by specialty
• Physical Rehabilitation Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.