Active NPI
Racquel Gordon-Skervin, MS,OTR/L
- Occupational Therapist
- White Plains, NY
National Provider Identifier
1326458357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 018804-1
- Practice address
- 111 Woodland Hills Rd
White Plains, NY 10603-3117 - Phone
- (914) 316-8741
- NPI assigned
- Apr 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 018804-1 | NY | Primary |
| Occupational Therapist | 225X00000X | 4234 | CT |
Addresses
Primary practice location
111 Woodland Hills Rd
White Plains, NY 10603-3117
Mailing address
111 Woodland Hills Rd
White Plains, NY 10603-3117
Phone (914) 316-8741
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 |
|---|---|---|---|
| 018804-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398729600000",
"number": "1326458357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 WOODLAND HILLS RD",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106033117",
"telephone_number": "914-316-8741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 WOODLAND HILLS RD",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106033117",
"telephone_number": "914-316-8741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON-SKERVIN",
"first_name": "RACQUEL",
"credential": "MS,OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-29",
"last_updated": "2014-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "018804-1",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "4234",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.