Active NPI
Trevor Jason Ricci, COTA/L
- Occupational Therapy Assistant
- Bronx, NY
National Provider Identifier
1548084080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 011648
- Practice address
- 2895 Roosevelt Ave
Bronx, NY 10465-2415 - Phone
- (718) 233-8293
- Fax
- (718) 701-3133
- NPI assigned
- Nov 12, 2024
- 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 Therapy Assistant | 224Z00000X | 011648 | NY | Primary |
Addresses
Primary practice location
2895 Roosevelt Ave
Bronx, NY 10465-2415
Mailing address
577 Isham St Apt 3B
New York, NY 10034-2038
Phone (917) 359-9103
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empower Rehab Occupational & Physical Therapy | Current | Accepting new patients |
Locations
2895 Roosevelt Ave
Bronx, NY 10465
Phone (718) 233-8293
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 and National Provider Directory roles.
-
- Occupational Therapist
- Bronx, NY
- NPI 1851024491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1548084080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "577 ISHAM ST APT 3B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100342038",
"telephone_number": "917-359-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2895 ROOSEVELT AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104652415",
"telephone_number": "718-233-8293",
"fax_number": "718-701-3133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICCI",
"first_name": "TREVOR",
"middle_name": "JASON",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-12",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "011648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.