Individual provider Active NPI

Ferdinand Rivera, P.T.

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1063604627
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026801-1 Issued in NY
Practice address
30 Mountainview Ave.
Staten Island, NY 10314-4036
Phone
(718) 370-0951
NPI assigned
Aug 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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 026801-1 NY Primary

Addresses

Primary practice location

30 Mountainview Ave.
Staten Island, NY 10314-4036

Mailing address

30 Mountainview Ave
Staten Island, NY 10314-4036
Phone (718) 370-0951

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250627000614 NY Practitioner - Physical Therapist in Private Practice 3870004369 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
026801-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
FTR Physical Therapy PC Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients

Locations

212 Cromwell Ave
Staten Island, NY 10305
Phone (718) 285-4190

Organizations & group practices 1

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": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1063604627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MOUNTAINVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144036",
            "telephone_number": "718-370-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MOUNTAINVIEW AVE.",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144036",
            "telephone_number": "718-370-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "FERDINAND",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026801-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.