Individual provider Active NPI

Hector Rivera Victoriano, OTR/L

  • Occupational Therapist
  • Staten Island, NY
National Provider Identifier
1396971503
Registry record updated Jun 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
010269 Issued in NY
Practice address
170 Halpin Ave
Staten Island, NY 10312-1227
Phone
(718) 820-2239
NPI assigned
Jun 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 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 010269 NY Primary

Addresses

Primary practice location

170 Halpin Ave
Staten Island, NY 10312-1227

Mailing address

170 Halpin Ave
Staten Island, NY 10312-1227
Phone (718) 820-2239

Other names 1

  • Mr. Hector Pocholo Rivera Victoriano Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150410001733 NY Practitioner - Occupational Therapist in Private Practice 4385962992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anchor Health Homecare Services IncGroup PAC ID 2163802570, 96 clinicians

Practice addresses (Care Compare)

Brooklyn, NY 11206
Phone (718) 701-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Rehabilitation, P.C. CurrentSince Jan 1, 2015 Accepting new patients
Anchor Health Homecare Services Inc Occupational Therapist CurrentSince Dec 30, 2025 Accepting new patients
Victory Rehabilitation Current Accepting new patients

Locations

46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300

2305 Hylan Blvd
Staten Island, NY 10306
Phone (718) 667-0297

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1396971503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 HALPIN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103121227",
            "telephone_number": "718-820-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 HALPIN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103121227",
            "telephone_number": "718-820-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTORIANO",
        "first_name": "HECTOR",
        "middle_name": "RIVERA",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "010269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HECTOR POCHOLO",
            "last_name": "VICTORIANO",
            "middle_name": "RIVERA",
            "prefix": "MR.",
            "credential": "OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.