Individual provider Active NPI

Jose R Rivera, RPT

  • Physical Therapist
  • Coral Gables, FL
National Provider Identifier
1063715829
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT22619 Issued in FL
Practice address
801 Monterey St
Suite 204
Coral Gables, FL 33134-2537
Phone
(305) 441-2320
Fax
(305) 441-2470
NPI assigned
Dec 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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 PT22619 FL Primary

Addresses

Primary practice location

801 Monterey St
Suite 204
Coral Gables, FL 33134-2537

Mailing address

801 Monterey St
Suite 204
Coral Gables, FL 33134-2537
Phone (305) 441-2320

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220609003055 FL Practitioner - Physical Therapist in Private Practice 5799948428 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bolanos Associates, LLC.Group PAC ID 0840327342, 16 clinicians
Novo Medical Group LLCGroup PAC ID 1850758160, 8 clinicians

Practice addresses (Care Compare)

1150 NW 72ND Ave
Suite 720
Miami, FL 33126-1932
Phone (866) 693-0181

13335 SW 124TH St
Suite 202
Miami, FL 33186-7515
Phone (866) 693-0181

7270 NW 12TH St
Suite 130
Miami, FL 33126-1928
Phone (305) 456-6997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Novo Medical Group LLC Physical Therapist CurrentSince Apr 26, 2023 Accepting new patients
Neuromuscular Physical Therapy, Inc CurrentSince Apr 1, 2022 Accepting new patients
Metro Med Rehab Center Inc Past Accepting new patients

Locations

7270 NW 12th St
Ste 320
Miami, FL 33126
Phone (786) 850-3304

7270 NW 12th St
Ste 130A
Miami, FL 33126
Phone (305) 456-6997

7200 NW 7th St
Ste 320
Miami, FL 33126
Phone (305) 260-7737

7270 NW 12th St
Ste 130
Miami, FL 33126
Phone (786) 536-7009

Organizations & group practices 4

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": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1063715829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MONTEREY ST",
            "address_2": "SUITE 204",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342537",
            "telephone_number": "305-441-2320",
            "fax_number": "305-441-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MONTEREY ST",
            "address_2": "SUITE 204",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342537",
            "telephone_number": "305-441-2320",
            "fax_number": "305-441-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JOSE",
        "middle_name": "R",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT22619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.