Active NPI
Rebecca Petrovich
- Occupational Therapist
- Riverview, FL
National Provider Identifier
1457690067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTT15540
- Practice address
- 13604 Palmera Vista Dr
Riverview, FL 33579-3529 - Phone
- (954) 895-6151
- Fax
- (813) 566-0318
- NPI assigned
- Feb 4, 2013
- Last updated
- Jan 24, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTT15540 | FL | Primary |
| Developmental Therapist | 222Q00000X | NU |
Addresses
Primary practice location
13604 Palmera Vista Dr
Riverview, FL 33579-3529
Mailing address
13604 Palmera Vista Dr
Riverview, FL 33579-3529
Phone (954) 895-6151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008113700 | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTT15540 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Limitless Therapy, LLC. | Developmental Therapist | Current | Accepting new patients |
Organizations & group practices 1
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": "1359936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1457690067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13604 PALMERA VISTA DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335793529",
"telephone_number": "954-895-6151",
"fax_number": "813-566-0318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13604 PALMERA VISTA DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335793529",
"telephone_number": "954-895-6151",
"fax_number": "813-566-0318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETROVICH",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-04",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OTT15540",
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008113700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Riverview, FL
- Cassandra Jo Perkins, APRN
- Shekina C Perry Balcom
- Antonella Magaly Pesaresi
- Valerie Petermon
- Melany Louise Petrella
- Michaella Phanord, ARNP
- Phoenix Professional Advisors LLC (Kratos Counseling)
- Phyliss' Comfort Home Health Care and Doula Services LLC (Phyliss Barton)
- Physicians ENT of Tampa LLC
- Christopher Samuel Piazza, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.