Active NPI
Andrew Noe Rivas, DPT
- Orthopedic Physical Therapist
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- P23421
- 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
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 |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| P23421 | NC | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Health System, Inc. | Physical Therapist | Current | Accepting new patients |
| Duke University Health System, Inc. | Current | 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.
-
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
Physical Therapist
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Durham, NC
- NPI 1427187525
-
- Internal Medicine Physician
- Durham, NC
- NPI 1376574798
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.