Individual provider Active NPI

Nicole Riftin, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1063267987
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
029096 Issued in NY
Practice address
2003 Coney Island Ave
Brooklyn, NY 11223-2328
Phone
(347) 200-4319
NPI assigned
Apr 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 029096 NY Primary

Addresses

Primary practice location

2003 Coney Island Ave
Brooklyn, NY 11223-2328

Mailing address

16 E Rockaway Rd
Hewlett, NY 11557-1710
Phone (347) 200-4319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240513000827 NY Practitioner - Occupational Therapist in Private Practice 1759722424 Reassigns benefits to 1 organization
I20240530002247 NJ Practitioner - Occupational Therapist in Private Practice 1759722424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Greenwood Ave
Montclair, NJ 07042-3649
Phone (973) 746-2424

160 Franklin Ave
Nutley, NJ 07110-3075
Phone (973) 667-0429

250 River St
Hackensack, NJ 07601-7514
Phone (201) 820-3730

590 Anderson Ave
Cliffside Park, NJ 07010-1721
Phone (201) 941-8667

691 Bloomfield Ave
Montclair, NJ 07042-2238
Phone (973) 893-5082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Occupational Therapist CurrentSince Jun 1, 2024 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Occupational Therapist CurrentSince Jun 1, 2024 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Occupational Therapist Current Accepting new patients
Core Therapy Services PT OT PLLC Occupational Therapist CurrentSince Apr 22, 2024 Accepting new patients

Locations

1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424

524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591

2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600

576 Broadhollow Rd
Melville, NY 11747

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1063267987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 E ROCKAWAY RD",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571710",
            "telephone_number": "347-200-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232328",
            "telephone_number": "347-200-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIFTIN",
        "first_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "029096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.