Individual provider Active NPI

Andrew Noe Rivas, DPT

  • Orthopedic Physical Therapist
  • Durham, NC
National Provider Identifier
1033930243
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
P23421 Issued in NC
Practice address
4309 Medical Park Dr
Durham, NC 27704-2388
Phone
(919) 668-7600
NPI assigned
Oct 21, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X P23421 NC Primary

Addresses

Primary practice location

4309 Medical Park Dr
Durham, NC 27704-2388

Mailing address

1124 Apple Blossom CT
Raleigh, NC 27606-3644

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241213001191 NC Practitioner - Physical Therapist in Private Practice 9032645080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke University Health System, IncGroup PAC ID 2567372345, 1,083 clinicians

Practice addresses (Care Compare)

4309 Medical Park Dr
Durham, NC 27704-2388
Phone (919) 684-8111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P23421NCMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients
Duke University Health System, Inc. CurrentSince Nov 4, 2024 Accepting new patients
Duke University Health System, Inc. Past Accepting new patients

Locations

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

501 Douglas St
Durham, NC 27705
Phone (800) 235-3853

4309 Medical Park Dr
Durham, NC 27704
Phone (919) 471-4484

5601 Arringdon Park Dr
Ste 230
Morrisville, NC 27560
Phone (919) 660-5049

Organizations & group practices 3

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": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1033930243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 APPLE BLOSSOM CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276063644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 MEDICAL PARK DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042388",
            "telephone_number": "919-668-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "ANDREW",
        "middle_name": "NOE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "P23421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.