SIOBHAN WALSH OTD, OTR/L, BCPR
NPI 1104675602
Occupational Therapist - Neurorehabilitation in Staten Island, NY
About Siobhan Walsh Otd, Otr/l, Bcpr NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIOBHAN WALSH OTD, OTR/L, BCPR (NPI 1104675602) is an individual neurorehabilitation provider in Staten Island, New York, licensed in New York (017139-01) and active in the NPI registry since May 2024. She is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Siobhan Walsh Otd, Otr/l, Bcpr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Siobhan Walsh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brooklyn, NY 11234
- Reassigned Medicare billing, New York enrollment
- 466 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Siobhan Walsh's NPI number?
The NPI number for Siobhan Walsh is 1104675602. It was assigned to this individual provider in the NPPES registry on May 16, 2024.
Where is Siobhan Walsh located?
Siobhan Walsh practices at 50 Valencia Ave, Staten Island, NY 10301. The listed phone number is (917) 755-8252.
What is Siobhan Walsh's specialty?
The primary specialty registered for this NPI is Occupational Therapist, specializing in Neurorehabilitation, with taxonomy code 225XN1300X.
Is Siobhan Walsh enrolled in Medicare?
Yes. Siobhan Walsh is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Siobhan Walsh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Siobhan Walsh reassigns Medicare benefits to Rb Physical And Occupational Therapy PLLC (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Siobhan Walsh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Siobhan Walsh was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Siobhan Walsh, OTD, OTR/L, BCPR · NPI 1104675602
Neurorehabilitation provider in Staten Island, New York. Individual provider, active in the CMS NPPES registry since May 16, 2024.
## Identity
- **NPI:** 1104675602 (Entity type: Individual)
- **Enumerated:** May 16, 2024
- **Primary specialty:** Occupational Therapist - Neurorehabilitation · taxonomy 225XN1300X
- **State license:** 017139-01 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 50 VALENCIA AVE, Staten Island, NY 10301-2024
- **Phone:** (917) 755-8252
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Rb Physical And Occupational Therapy PLLC (NPI 1790013282, Brooklyn, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** May 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104675602) · Data from the CMS NPPES public registry.