Individual provider Active NPI

Simona Raynov, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1912644675
Registry record updated May 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
026804 Issued in NY
Practice address
701 Gerald CT Apt 2G
Brooklyn, NY 11235-5128
Phone
(347) 475-7909
NPI assigned
May 15, 2022
Last updated
May 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2022

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 026804 NY Primary

Addresses

Primary practice location

701 Gerald CT Apt 2G
Brooklyn, NY 11235-5128

Mailing address

701 Gerald CT Apt 2G
Brooklyn, NY 11235-5128

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230411001650 NY Practitioner - Occupational Therapist in Private Practice 7113392887 Reassigns benefits to 5 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back in Motion Group Chiropractic, OT, RN, PT, SLP PLLCGroup PAC ID 8527406461, 2 clinicians

Practice addresses (Care Compare)

2625 E 14TH St
Suite 209
Brooklyn, NY 11235-3973
Phone (347) 395-1717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab on Wheels OT PT PLLC Single Specialty CurrentSince Apr 1, 2023 Accepting new patients
Anchor Health Homecare Services Inc Single Specialty CurrentSince Feb 1, 2023 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Single Specialty CurrentSince Oct 31, 2023 Accepting new patients
Assist Physical Therapy, PLLC Single Specialty CurrentSince Oct 7, 2023 Accepting new patients
SB Therapy and Rehab Inc Single Specialty CurrentSince Nov 19, 2023 Accepting new patients
Back in Motion Group Chiropractic, OT, RN, PT, SLP PLLC Single Specialty CurrentSince Jan 25, 2024 Accepting new patients
Prokinetics Physical Therapy P.C. Single Specialty CurrentSince Jul 5, 2023 Accepting new patients
Rebound Chiropractic P.C. Single Specialty PastSince Nov 1, 2023 Accepting new patients

Locations

174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

2625 E 14th St
Ste 209
Brooklyn, NY 11235
Phone (347) 395-1717

46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300

8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199

Organizations & group practices 8

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": "1652572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652572800000",
    "number": "1912644675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 GERALD CT APT 2G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GERALD CT APT 2G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355128",
            "telephone_number": "347-475-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNOV",
        "first_name": "SIMONA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-15",
        "last_updated": "2022-05-15",
        "certification_date": "2022-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "026804",
            "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 May 15, 2022; 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.