Active NPI
Roy Repunte, OTR/L
- Occupational Therapist
- Camarillo, CA
National Provider Identifier
1396105334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9712
- Practice address
- 100 Frenchys CV Apt 74
Camarillo, CA 93012-9169 - Phone
- (209) 541-9775
- NPI assigned
- Mar 3, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 9712 | CA | Primary |
Addresses
Primary practice location
100 Frenchys CV Apt 74
Camarillo, CA 93012-9169
Mailing address
100 Frenchys CV Apt 74
Camarillo, CA 93012-9169
Phone (209) 541-9775
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456963200000",
"number": "1396105334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 FRENCHYS CV APT 74",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930129169",
"telephone_number": "209-541-9775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FRENCHYS CV APT 74",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930129169",
"telephone_number": "209-541-9775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REPUNTE",
"first_name": "ROY",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-03",
"last_updated": "2016-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "9712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.