NPIMap

Individual provider Active NPI

Anita Caitlin Rogers Trevillion

  • Occupational Therapist
  • Fort Worth, TX
National Provider Identifier
1023545472
Registry record updated May 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
116987 Issued in TX
Practice address
6013 Reef Point LN Ste 401
Fort Worth, TX 76135-7028
Phone
(817) 764-3825
NPI assigned
May 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 200853 LA
Occupational Therapist 225X00000X 116987 TX Primary

Addresses

Primary practice location

6013 Reef Point LN Ste 401
Fort Worth, TX 76135-7028

Mailing address

6013 Reef Point LN Ste 401
Fort Worth, TX 76135-7028

Other names 1

  • Anita Caitlin Rogers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494892800000",
    "number": "1023545472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6013 REEF POINT LN STE 401",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761357028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6013 REEF POINT LN STE 401",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761357028",
            "telephone_number": "817-764-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVILLION",
        "first_name": "ANITA",
        "middle_name": "CAITLIN ROGERS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2017-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "200853",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "116987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "ROGERS",
            "middle_name": "CAITLIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.