Active NPI
Jonita Rivas
- Physical Therapist
- Wilmington, DE
National Provider Identifier
1063305456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J10014972
- Practice address
- 4031 Kennett Pike
Wilmington, DE 19807-2047 - Phone
- (302) 658-6200
- NPI assigned
- Jun 2, 2025
- Last updated
- Jun 2, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225100000X | J10014972 | DE | Primary |
Addresses
Primary practice location
4031 Kennett Pike
Wilmington, DE 19807-2047
Mailing address
260 Old Quarry CT
Media, PA 19063-5530
Phone (609) 379-9871
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J10014972 | DE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1063305456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 OLD QUARRY CT",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635530",
"telephone_number": "609-379-9871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4031 KENNETT PIKE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198072047",
"telephone_number": "302-658-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVAS",
"first_name": "JONITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-02",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J10014972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
- Rite Aid of Delaware Inc (Rite Aid Pharmacy 01658)
- Rite Aid of Delaware Inc (Rite Aid Pharmacy 01294)
- Rite Aid of Delaware Inc (Rite Aid Pharmacy 00839)
- Michelle K Ritona, NP
- Steven B. Ritz, MD
- Glendalys Rivera
- Tanesha Prudence Rivera
- Riverfront Counseling, LLC
- Riverfront Physical Medicine LLC
- Riverside Transitional Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.