Active NPI
Rachel Elise Fish, OTR/L
- Occupational Therapist
- Adams Center, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 027265
- Practice address
- 13180 US Route 11
Adams Center, NY 13606-2276 - Phone
- (315) 955-5237
- NPI assigned
- Oct 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 027265 | NY | Primary |
Addresses
Primary practice location
13180 US Route 11
Adams Center, NY 13606-2276
Mailing address
48 Kersey Dr
Sandy Creek, NY 13145-2193
Phone (315) 955-5237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230807001128 | NY | Practitioner - Occupational Therapist in Private Practice | 2365803376 | Reassigns benefits to 1 organization |
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
- Syracuse Orthopedic Specialists, PLLC
Practice addresses (Care Compare)
5719 Widewaters Pkwy
Syracuse, NY 13214-1985
Phone (315) 251-3100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027265 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Syracuse Orthopedic Specialists, PLLC | Current | Accepting new patients | |
| Syracuse Orthopedic Specialists, PLLC | Past | Accepting new patients |
Locations
5823 Widewaters Pkwy
Ste 3
East Syracuse, NY 13057
Phone (315) 418-4000
5823 Widewaters Pkwy
East Syracuse, NY 13057
Phone (315) 426-0190
5719 Widewaters Pkwy
Syracuse, NY 13214
Phone (315) 251-3110
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.
-
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- NPI 1689953135
-
- Durable Medical Equipment & Medical Supplies
- Syracuse, NY
- NPI 1013087071
-
- Durable Medical Equipment & Medical Supplies
- Camillus, NY
- NPI 1336219393
-
- Durable Medical Equipment & Medical Supplies
- North Syracuse, NY
- NPI 1891033189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665100800000",
"number": "1972228443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 KERSEY DR",
"city": "SANDY CREEK",
"state": "NY",
"postal_code": "131452193",
"telephone_number": "315-955-5237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13180 US ROUTE 11",
"city": "ADAMS CENTER",
"state": "NY",
"postal_code": "136062276",
"telephone_number": "315-955-5237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISH",
"first_name": "RACHEL",
"middle_name": "ELISE",
"name_prefix": "Miss",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-07",
"last_updated": "2022-10-07",
"certification_date": "2022-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "027265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Adams Center, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.