Gloria Maria Rivera, BS

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

005978-1 Issued in NY

Practice address

1 Carmans Rd
Massapequa Park, NY 11762-1438

Phone

(516) 608-6200

NPI assigned

Nov 4, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Gloria Maria Amna Rashid Ghani Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1063799021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SHELART ST",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031420",
            "telephone_number": "516-349-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CARMANS RD",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621438",
            "telephone_number": "516-608-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "GLORIA",
        "middle_name": "MARIA",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "005978-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "GHANI",
            "middle_name": "MARIA AMNA RASHID",
            "credential": "BS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Pediatric Physical Therapist in Massapequa Park, NY
• Providers in Massapequa Park, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.