Active NPI
Krysta M Rives, COTA/L
- Occupational Therapy Assistant
- Jamestown, NY
National Provider Identifier
1609648880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 008400
- Practice address
- 917 Washington St
Jamestown, NY 14701-3044 - Phone
- (716) 490-2881
- NPI assigned
- Oct 23, 2023
- Last updated
- Oct 23, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 008400 | NY | Primary |
Addresses
Primary practice location
917 Washington St
Jamestown, NY 14701-3044
Mailing address
300 Trenton St
Jamestown, NY 14701-7505
Phone (716) 490-2881
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 |
|---|---|---|---|
| 008400 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OT Study Notes LLC | Occupational Therapy Assistant | Current | Accepting new patients |
Locations
917 Washington St
Jamestown, NY 14701
Phone (716) 490-2881
Organizations & group practices 2
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.
-
- Home Health Agency
- Pottstown, PA
- NPI 1497127310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1609648880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 TRENTON ST",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147017505",
"telephone_number": "716-490-2881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 WASHINGTON ST",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147013044",
"telephone_number": "716-490-2881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVES",
"first_name": "KRYSTA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-23",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "008400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamestown, NY
- Jessie Blair Rink, N.P.
- Janelle Lynn Riolo, M.S. CCC-SLP
- Elaine Marie Rissel, RN, BSN
- Rite Aid of New York Inc (Rite Aid Pharmacy 00568)
- Rite Aid of New York Inc (Rite Aid Pharmacy 03033)
- Aime J. Rizzuto, OTR/L
- John Roan, PA
- Paul Gordon Henry Robbins, DO
- Robert J Gatto Jr Chiropractor PC
- Scott Robertson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.