Active NPI
Milton David Riveros, MS, OTR/L
- Occupational Therapist
- New Britain, CT
National Provider Identifier
1023746716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 48.004623
- Practice address
- 54 Wilson St
New Britain, CT 06051-2024 - Phone
- (860) 422-0568
- NPI assigned
- Aug 10, 2022
- Last updated
- Aug 10, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 025240-01 | NY | |
| Occupational Therapist | 225X00000X | OC14995 | PA | |
| Occupational Therapist | 225X00000X | 5946 | SC | |
| Occupational Therapist | 225X00000X | OT.0006631 | CO | |
| Occupational Therapist | 225X00000X | 48.004623 | CT | Primary |
Addresses
Primary practice location
54 Wilson St
New Britain, CT 06051-2024
Mailing address
54 Wilson St
New Britain, CT 06051-2024
Phone (860) 422-0568
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT.0006631 | CO | MD | Occupational Therapist |
| 48.004623 | CT | MD | Occupational Therapist |
| 025240-01 | NY | MD | Occupational Therapist |
| OC14995 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1023746716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 WILSON ST",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060512024",
"telephone_number": "860-422-0568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 WILSON ST",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060512024",
"telephone_number": "860-422-0568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVEROS",
"first_name": "MILTON",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-10",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "025240-01",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC14995",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "5946",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "OT.0006631",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "48.004623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.