PROVIDER REHAB, OT. P.C.
NPI 1205294691
Occupational Therapist in Staten Island, NY
About Provider Rehab, Ot. P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDER REHAB, OT. P.C. (NPI 1205294691) is a healthcare organization registered as an occupational therapist in Staten Island, New York and active in the NPI registry since February 2016. The organization maintains a secondary practice location in Brooklyn and lists Dmitry Shevchenko, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Provider Rehab, Ot. P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Provider Rehab, Ot. P.C., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 Provider Rehab, Ot. P.C.'s NPI number?
The NPI number for Provider Rehab, Ot. P.C. is 1205294691. It was assigned to this organization in the NPPES registry on February 1, 2016.
Where is Provider Rehab, Ot. P.C. located?
Provider Rehab, Ot. P.C. is located at 288 Sand Ln Ste 1, Staten Island, NY 10305. The listed phone number is (347) 766-9077.
What is Provider Rehab, Ot. P.C.'s specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Provider Rehab, Ot. P.C. enrolled in Medicare?
Yes. Provider Rehab, Ot. P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Provider Rehab, Ot. P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Occupational Therapist in Private Practice, reassign their Medicare billing to Provider Rehab, Ot. P.C.. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Provider Rehab, Ot. P.C. was last updated on March 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.