Active NPI
Emmanuel Rivera, DPT
- Physical Therapist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1348219
- Practice address
- 17026 Bulverde Rd Ste 108
San Antonio, TX 78247-4700 - Phone
- (210) 819-2994
- Fax
- (210) 463-5942
- NPI assigned
- Oct 25, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1348219 | TX | Primary |
Addresses
Primary practice location
17026 Bulverde Rd Ste 108
San Antonio, TX 78247-4700
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
21727 W Interstate 10 Ste 110
San Antonio, TX 78257-2108
Phone (210) 314-1402
Other practice location 2
2829 Babcock Rd Ste 117
San Antonio, TX 78229-6009
Phone (210) 341-9614
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17026 Bulverde Rd
Suite 108
San Antonio, TX 78247-4700
Phone (210) 819-2994
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.18 of 100
- Quality
- 59.83
- Improvement activities
- 20
- Cost
- 75.9
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.56 of 100
- Quality
- 89.48
- Improvement activities
- 40
- Cost
- 71.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients | |
| Momentum Physical & Sports Rehabilitation Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Momentum Physical & Sports Rehabilitation Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current | Accepting new patients |
| Kinematic Concepts Physical Therapy & Sports Rehab, PLLC | Physical Therapist | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
124 E Bandera Rd
Ste 402
Boerne, TX 78006
Phone (830) 428-2950
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
12952 Bandera Rd
Ste 107
Helotes, TX 78023
Phone (210) 372-9600
5441 Babcock Rd
Ste 103
San Antonio, TX 78240
Phone (210) 253-3888
21727 W Interstate 10
Ste 110
San Antonio, TX 78257
Phone (210) 314-1402
17026 Bulverde Rd
Ste 108
San Antonio, TX 78247
Phone (210) 819-2994
5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949
Organizations & group practices 5
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.
-
- Physical Therapist
- Plano, TX
- NPI 1538573746
-
- Physical Therapist
- Helotes, TX
- NPI 1871990275
-
- Durable Medical Equipment & Medical Supplies
- Murphy, TX
- NPI 1902773161
-
- Physical Therapist
- Tampa, FL
- NPI 1609243328
-
- Physical Therapist
- San Antonio, TX
- NPI 1023079712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1174287338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17026 BULVERDE RD STE 108",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782474700",
"telephone_number": "210-819-2994",
"fax_number": "210-463-5942"
}
],
"practiceLocations": [
{
"address_1": "21727 W Interstate 10 Ste 110",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782572108",
"country_code": "US",
"telephone_number": "210-314-1402",
"fax_number": "210-530-1309",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2829 Babcock Rd Ste 117",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782296009",
"country_code": "US",
"telephone_number": "210-341-9614",
"fax_number": "210-340-5924",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA",
"first_name": "EMMANUEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-25",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1348219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.