NATHANIEL SOLOMON RUBIN – Occupational Therapist, NPI 1104533322

NATHANIEL SOLOMON RUBIN is a healthcare provider. based in Brooklyn, New York. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 030783 (NY). The NPI Number for NATHANIEL SOLOMON RUBIN is 1104533322

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
NATHANIEL SOLOMON RUBIN
NPI
1104533322
Phone
(917) 865-8460
Address
15 CLARK ST APT 3A
Enumeration Date
28 October 2022
Last Update Date
28 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6467800926
Graduation Year
2022 (4 years ago)
PAC ID
2961870605
Group Practice PAC ID
6305144775
Professional Enrollment ID
I20221130001134
Address ID
NY112294552BR2579XAVEX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

1,729 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in NY

Provider Addresses for NATHANIEL SOLOMON RUBIN

  • 15 CLARK ST APT 3A

    BROOKLYN, NY 112012111

    Phone: (917) 865-8460

    Type: Mailing

  • 2579 OCEAN AVE FL 3

    BROOKLYN, NY 112294552

    Phone: (646) 780-0926

    Fax: (646) 502-5507

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-11-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221130001134IOccupational Therapist In Private PracticeNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,10738$0
97530Therapy procedure using functional activities43733$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes38430$0
97116Therapy procedure for walking training, each 15 minutes11620$0
97166Evaluation for occupational therapy, typically 45 minutes2929$0
View full utilization report →

Insurance plans in this area (ZIP 11201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305144775View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNY
-MA
Occupational Therapist In Private PracticeNY
-NY
Occupational Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticePA
Occupational Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNY

Reviews

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Frequently asked questions

What is NATHANIEL SOLOMON RUBIN's NPI number?
NATHANIEL SOLOMON RUBIN's NPI is 1104533322 — the number used across U.S. healthcare to identify this provider.
Would NATHANIEL SOLOMON RUBIN appear as active to a payer?
You can treat NATHANIEL SOLOMON RUBIN as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with NATHANIEL SOLOMON RUBIN?
NATHANIEL SOLOMON RUBIN's record emphasizes Occupational Therapist. Clinical services aligned with this taxonomy classification.
Is NATHANIEL SOLOMON RUBIN located near Brooklyn?
NATHANIEL SOLOMON RUBIN currently maps to Brooklyn, New York in this extract.
Can I trust this NPI listing for NATHANIEL SOLOMON RUBIN?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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