Individual provider Active NPI

Milton David Riveros, MS, OTR/L

  • Occupational Therapist
  • New Britain, CT
National Provider Identifier
1023746716
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
48.004623 Issued in CT
Practice address
54 Wilson St
New Britain, CT 06051-2024
Phone
(860) 422-0568
NPI assigned
Aug 10, 2022
Last updated
Aug 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
OT.0006631COMDOccupational Therapist
48.004623CTMDOccupational Therapist
025240-01NYMDOccupational Therapist
OC14995PAMDOccupational 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.

Verify at the official NPI Registry.