Individual provider Active NPI

Jerome Tolentino Rivera Jr., DPT

  • Physical Therapist
  • Astoria, NY
National Provider Identifier
1023670361
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
043531 Issued in NY
Practice address
3210 35TH St Apt 1F
Astoria, NY 11106-1147
Phone
(859) 810-1597
NPI assigned
Jul 8, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 043531 NY Primary

Addresses

Primary practice location

3210 35TH St Apt 1F
Astoria, NY 11106-1147

Mailing address

3210 35TH St Apt 1F
Astoria, NY 11106-1147
Phone (859) 810-1597

Other practice location 1

2308 30th Ave
Long Island City, NY 11102-3494
Phone (347) 997-0221

Other practice location 2

25 W 45th St Ste 507
New York, NY 10036-4902
Phone (347) 997-0221

Other practice location 3

4135 67th St Fl 1
Woodside, NY 11377-3718
Phone (347) 997-0221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220824000573 NY Practitioner - Physical Therapist in Private Practice 3577946524 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nyc Home Rehab Physical Therapy PLLCGroup PAC ID 5991200180, 6 clinicians

Practice addresses (Care Compare)

Astoria, NY 11106
Phone (859) 810-1597

3119 33Rd St
Apt 1
Astoria, NY 11106-2011

Merit-based Incentive Payment System (MIPS)

Final score
87.87 of 100Reported as group
Quality
88.31
Improvement activities
40
Cost
69.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043531NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rivera Group Physical Therapist CurrentSince Dec 22, 2024 Accepting new patients
Nyc Home Rehab Physical Therapy PLLC Physical Therapist CurrentSince Sep 2, 2025 Accepting new patients
Shasta Health Physical Therapy Ny PC Physical Therapist CurrentSince Nov 17, 2024 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Aug 18, 2022 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Aug 18, 2022 Accepting new patients
Lifelong Strong Health LLC Physical Therapist CurrentSince Nov 17, 2024 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients

Locations

123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248

121 Broadhollow Rd
Melville, NY 11747
Phone (631) 354-5600

576 Broadhollow Rd
Melville, NY 11747

169 Madison Ave
Ste 11071
New York, NY 10016
Phone (833) 270-9820

25 W 45th St
Ste 507
New York, NY 10036
Phone (201) 873-9334

2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1023670361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 35TH ST APT 1F",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111061147",
            "telephone_number": "859-810-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 35TH ST APT 1F",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111061147",
            "telephone_number": "859-810-1597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2308 30th Ave",
            "address_purpose": "LOCATION",
            "city": "Long Island City",
            "state": "NY",
            "postal_code": "111023494",
            "country_code": "US",
            "telephone_number": "347-997-0221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 W 45th St Ste 507",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100364902",
            "country_code": "US",
            "telephone_number": "347-997-0221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4135 67th St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Woodside",
            "state": "NY",
            "postal_code": "113773718",
            "country_code": "US",
            "telephone_number": "347-997-0221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JEROME",
        "middle_name": "TOLENTINO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-08",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.