Alexa Rivera

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P23907

Practice address

4501 Main St Ste 5
Shallotte, NC 28470-4585

Phone

(910) 575-2775

NPI assigned

Feb 24, 2025

Last updated

Feb 24, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolina Rehabilitation Inc

  dba Brunswick P.T. Associates, Edwards & Associates P.T.

  • Physical Medicine & Rehabilitation Physician
  • Supply, NC
  • NPI 1427142561

  Physical Therapist

  NPD

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1154127702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 FOSTER LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MAIN ST STE 5",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704585",
            "telephone_number": "910-575-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ALEXA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "P23907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riccobene & Associates Xiii, DDS, P.a. (Brush and Floss Specialty - Shallotte)
• Heather Michelle Rider
• Jason Keeley Riemann, D.C.
• Linda Sue Rieth, PHD, LPCA, AFC
• Danielle Ritch
• Bethania Rorie Robinson, MSW, LCSW
• Heather Marie Rubino, LCSW
• Gregory Paul Rupp, D.D.S.
• Pamela Sabalos, LCSW
• Kelli Brewer Sabiston, MA, ATC, LAT

• Physical Therapist in Shallotte, NC
• Providers in Shallotte, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.