Sandra Enid Rivera, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

012903-1 Issued in NY

Practice address

800 S Wilbur Ave
Syracuse, NY 13204-2732

Phone

(607) 756-5637

Fax

(607) 756-6388

NPI assigned

Mar 7, 2007

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

• Miss Sandra Enid Paquette Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  Medicare reassignment
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Corinth, NY
  • NPI 1003957424
  NPD
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Cortland, NY
  • NPI 1356572739
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093845885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 DAWN DR",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S WILBUR AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042732",
            "telephone_number": "607-756-5637",
            "fax_number": "607-756-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "SANDRA",
        "middle_name": "ENID",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012903-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "PAQUETTE",
            "middle_name": "ENID",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• River Meadows, LLC (James Square Nursing and Rehabilitation Center)
• Amber Marie Rivera, NP
• Aubrianna Sue Rivera, MSW
• Marcus Richard Rivera, MD
• Melissa Rivera
• Yadira Rivera
• Susan S Rivito, MST
• Rabia Rizwana, M.D.
• Shellie J Rizza, NP
• Brianna Rizzari, DPT

• Physical Therapist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.