CMS-1500 Box 24J / 33a • NPI
1114521481
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
225X00000X (CMS 67)
Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)
Box 32 Service Location & ZIP+4
1107 MAGGIE RD, NEWBURGH, NY, 12550-7018
✓ 9-Digit EDI 837 ZIP+4 (12550-7018)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1114521481 (TARINAH JOY FAIRCLOTH-CHIN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1114521481 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | TARINAH JOY FAIRCLOTH-CHIN |
| Plain-English Specialty | Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) NUCC Code: 225X00000X (Occupational Therapist) |
| Certifying / Licensing Body | National Board for Certification in Occupational Therapy (NBCOT) |
| Practice Location Address | 1107 MAGGIE RD, NEWBURGH, NY, 12550-7018 |
| Practice Telephone / Fax | Tel: (845) 240-9999 |
| Administrative Mailing Address | PO BOX 749, BELMONT, NC, 28012-0749 |
| Enumeration & Last Sync | Enumerated: 2020-11-25 | CMS Record Updated: 2025-01-02 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (225X00000X)
What Does Taxonomy Code 225X00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225X00000X translates to:
"Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (TARINAH JOY FAIRCLOTH-CHIN)
Typical CPT / Diagnostic Procedures:- Activities of Daily Living (ADL) & Neuromuscular Re-Education (CPT 97530–97535)
- Upper Extremity Hand Therapy, Custom Splinting & Home Safety Ergonomics
- Non-Pharmacological Functional & Sensory-Motor Rehabilitation Protocols
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
225X00000X — Occupational TherapistPlain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) | State: NC | License: 15018 | Primary: Yes (Primary) |
225X00000X — Occupational TherapistPlain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) | State: NY | License: 025247 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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