Active NPI
Sandra Rivera
- Physical Therapy Assistant
- Chicago, IL
National Provider Identifier
1043651821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 160005840
- Practice address
- 1010 N Hooker St Ste 301
Chicago, IL 60642-4633 - Phone
- (312) 943-3600
- Fax
- (866) 410-9192
- NPI assigned
- Jul 9, 2013
- Last updated
- Jul 9, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160005840 | Primary |
Addresses
Primary practice location
1010 N Hooker St Ste 301
Chicago, IL 60642-4633
Mailing address
10828 Massasoit Ave
Chicago Ridge, IL 60415-2415
Phone (773) 653-3095
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| International Consulting Group, Inc | Past | Accepting new patients | |
| Icg Home Health Care | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Chicago, IL
- NPI 1922546050
-
dba ICG Home Health Care Services
- Home Health Agency
- Chicago, IL
- NPI 1174897144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373328000000",
"number": "1043651821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10828 MASSASOIT AVE",
"city": "CHICAGO RIDGE",
"state": "IL",
"postal_code": "604152415",
"telephone_number": "773-653-3095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 N HOOKER ST STE 301",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606424633",
"telephone_number": "312-943-3600",
"fax_number": "866-410-9192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "SANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-09",
"last_updated": "2013-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": "160005840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.