Individual provider Active NPI

Rikki Kopolovich, OT

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1275861494
Registry record updated Nov 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
015163 Issued in NY
Practice address
856 46TH St
Brooklyn, NY 11220-1656
Phone
(718) 435-7000
Fax
(718) 435-7066
NPI assigned
Nov 29, 2009
Last updated
Nov 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2009

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 015163 NY Primary

Addresses

Primary practice location

856 46TH St
Brooklyn, NY 11220-1656

Mailing address

856 46TH St
Brooklyn, NY 11220-1656
Phone (718) 435-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100114000001 NY Practitioner - Occupational Therapist in Private Practice 8224179155 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015163NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy in Motion PT OT, PLLC Occupational Therapist CurrentSince Feb 9, 2025 Accepting new patients
Therapy-in-Motion Physical Therapy & Rehabilitation Services, PC CurrentSince Nov 29, 2009 Accepting new patients
Bienetre Medical PC Occupational Therapist CurrentSince Oct 30, 2025 Accepting new patients

Locations

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1259452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259452800000",
    "number": "1275861494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 46TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201656",
            "telephone_number": "718-435-7000",
            "fax_number": "718-435-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 46TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201656",
            "telephone_number": "718-435-7000",
            "fax_number": "718-435-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPOLOVICH",
        "first_name": "RIKKI",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-29",
        "last_updated": "2009-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015163",
            "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 Nov 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.