Active NPI
Skylre Ariel Ritvo, MS, OTR/L
- Pediatric Occupational Therapist
- Los Angeles, CA
National Provider Identifier
1154612786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 14056
- Practice address
- 822 S Robertson Blvd
Suite 202
Los Angeles, CA 90035-1613 - Phone
- (310) 365-0500
- NPI assigned
- Apr 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Occupational Therapist | 225XP0200X | 14056 | CA | Primary |
Addresses
Primary practice location
822 S Robertson Blvd
Suite 202
Los Angeles, CA 90035-1613
Mailing address
1519 S Fairfax Ave
Apt 7
Los Angeles, CA 90019-4908
Phone (617) 283-5910
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 |
|---|---|---|---|
| 14056 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KTMS, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Early Intervention Provider Agency
- Los Angeles, CA
- NPI 1285047217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421712000000",
"number": "1154612786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1519 S FAIRFAX AVE",
"address_2": "APT 7",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900194908",
"telephone_number": "617-283-5910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 S ROBERTSON BLVD",
"address_2": "SUITE 202",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900351613",
"telephone_number": "310-365-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITVO",
"first_name": "SKYLRE",
"middle_name": "ARIEL",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-30",
"last_updated": "2015-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "14056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.