Active NPI
Christopher Patrick Rivard, OTR
- Occupational Therapist
- Beaumont, TX
National Provider Identifier
1538470638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 113225
- Practice address
- 625 Orleans Street
Beaumont, TX 77701-3308 - Phone
- (713) 805-4095
- NPI assigned
- Jun 23, 2010
- Sex
- Male
- 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 | 113225 | TX | Primary |
Addresses
Primary practice location
625 Orleans Street
Beaumont, TX 77701-3308
Mailing address
2485 S Major Dr
625 Orleans Street
Beaumont, TX 77707-5019
Phone (409) 861-4611
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 |
|---|---|---|---|
| 113225 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278460800000",
"number": "1538470638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2485 S MAJOR DR",
"address_2": "625 ORLEANS STREET",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777075019",
"telephone_number": "409-861-4611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 ORLEANS STREET",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777013308",
"telephone_number": "713-805-4095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVARD",
"first_name": "CHRISTOPHER",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-23",
"last_updated": "2010-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "113225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.