Eryn Revette, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

024775 Issued in NY

Practice address

637 Co Rd 1
Fort Covington, NY 12937

Phone

(518) 358-6670

NPI assigned

Aug 11, 2020

Last updated

Aug 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1275144594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 PIKEVILLE RD",
            "city": "BURKE",
            "state": "NY",
            "postal_code": "129171804",
            "telephone_number": "518-483-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 CO RD 1",
            "city": "FORT COVINGTON",
            "state": "NY",
            "postal_code": "12937",
            "telephone_number": "518-358-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVETTE",
        "first_name": "ERYN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "024775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Covington EMS Inc
• Gisele Marie Hance, RN
• Emmah Mae-Louise Herne
• Kathleen Lauzon, FNP
• Denise Leroux Oakes, LPN
• Cindy Lee Reynolds Tremblay, RN
• Danuta Ryan
• Salmon River Central School
• Salmon River Central School
• Carol Schneider, SLP

• Occupational Therapist in Fort Covington, NY
• Providers in Fort Covington, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.