Andrew Rivera, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT45019 Issued in FL

Practice address

3900 S Florida Ave Ste 107
Lakeland, FL 33813-1150

Phone

(863) 647-3665

NPI assigned

Feb 7, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1003621103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 S FLORIDA AVE STE 107",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131150",
            "telephone_number": "863-647-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 S FLORIDA AVE STE 107",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131150",
            "telephone_number": "863-647-3665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 S Florida Ave",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338015229",
            "country_code": "US",
            "telephone_number": "863-268-2608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-07",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT45019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Carlos Rivera Martinez, MD
• Hector G Rivera Rios, DC
• Luis Xavier Rivera Santana
• Yvonne Rivera-Cruz, M.D.
• Luis O. Rivera-Gonzalez, LCSW
• Andrew Rivera, MD, MS
• Claudia Rivera
• Erin Walley Rivera, LCSW
• Ileana Ivelisse Rivera, CPI
• Ivan Rivera, MD

• Orthopedic Physical Therapist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Orthopedic Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.