Active NPI
Rachelle Rivere
- Occupational Therapist
- College Point, NY
National Provider Identifier
1366773608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 015395-1
- Practice address
- 11451 Taipei CT
1F
College Point, NY 11356-1576 - Phone
- (212) 221-1544
- NPI assigned
- Jan 27, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 015395-1 | NY | Primary |
Addresses
Primary practice location
11451 Taipei CT
1F
College Point, NY 11356-1576
Mailing address
11451 Taipei CT
College Point, NY 11356-1576
Phone (212) 221-1544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13-5671639 | Medicaid | NY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015395-1 | NY | MD | Occupational Therapist |
Interoperability endpoints
- rachelle.rivere.p1@direct.premierhealthcare.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264550400000",
"number": "1366773608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11451 TAIPEI CT",
"city": "COLLEGE POINT",
"state": "NY",
"postal_code": "113561576",
"telephone_number": "212-221-1544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11451 TAIPEI CT",
"address_2": "1F",
"city": "COLLEGE POINT",
"state": "NY",
"postal_code": "113561576",
"telephone_number": "212-221-1544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERE",
"first_name": "RACHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-27",
"last_updated": "2010-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "015395-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13-5671639",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in College Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.