Individual provider Active NPI

Rivka Bagley, OTR/L

  • Occupational Therapist
  • Catonsville, MD
National Provider Identifier
1720521396
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
09507 Issued in MD
Practice address
2300 Old Frederick Rd
Catonsville, MD 21228-4811
Phone
(786) 269-1019
NPI assigned
Nov 29, 2016
Last updated
Oct 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 021087 NY
Occupational Therapist 225X00000X 09507 MD Primary

Addresses

Primary practice location

2300 Old Frederick Rd
Catonsville, MD 21228-4811

Mailing address

3014 Fallstaff Rd Apt E
Baltimore, MD 21209-2912
Phone (786) 269-1019

Other practice location 1

1477 E 18th St
Brooklyn, NY 11230-6705
Phone (786) 269-1019

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

LicenseStateTypeSpecialty
09507MDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1720521396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 FALLSTAFF RD APT E",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092912",
            "telephone_number": "786-269-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 OLD FREDERICK RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284811",
            "telephone_number": "786-269-1019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1477 E 18th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112306705",
            "country_code": "US",
            "telephone_number": "786-269-1019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGLEY",
        "first_name": "RIVKA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "021087",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "09507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.