Individual provider Active NPI

Courtney Paige Rivadeneira, PT, DPT

  • Orthopedic Physical Therapist
  • Austin, TX
National Provider Identifier
1114472743
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1281989 Issued in TX
Practice address
7718 Wood Hollow Dr Ste 105
Austin, TX 78731-1601
Phone
(512) 795-0053
NPI assigned
Aug 24, 2016
Last updated
Aug 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1281989 TX Primary

Addresses

Primary practice location

7718 Wood Hollow Dr Ste 105
Austin, TX 78731-1601

Mailing address

6712 Tanaqua CV
Austin, TX 78739-2023

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1281989TXMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Courtney Rivadeneira, LLC Current Accepting new patients
Austin Oaks Physical Medicine PLLC PastSince Nov 1, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1114472743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6712 TANAQUA CV",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787392023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7718 WOOD HOLLOW DR STE 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311601",
            "telephone_number": "512-795-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVADENEIRA",
        "first_name": "COURTNEY",
        "middle_name": "PAIGE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1281989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.