Provider Rehab, OT. P.C.
NPI 1205294691ActiveOrganization· Occupational Therapist· Staten Island, NY
Occupational Therapist in Staten Island, New York, registered in NPPES in February 2016. The authorized official on file is Dmitry Shevchenko, OTR/L, President. Enrolled in Medicare as dme supplier - independently-practicing occupational therapist and part b supplier - clinic/group practice.
Overview
| NPI | 1205294691 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 1, 2016 |
| Last updated in NPPES | Mar 5, 2020 |
| Certified by provider | Mar 5, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 63018851 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Independently-Practicing Occupational Therapist (NY); Part B Supplier - Clinic/Group Practice (NY) |
|---|
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All 566 occupational therapists in Staten Island · All occupational therapists in New York