Active NPI
Oliver Rivera, PT, DPT
- Physical Therapist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.023299
- Practice address
- 1640 W Roosevelt Rd RM 336
Chicago, IL 60608-1316 - Phone
- (312) 413-8046
- NPI assigned
- Dec 18, 2017
- Last updated
- Dec 7, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.023299 | IL | Primary |
| Sports Physical Therapist | 2251S0007X | NU | ||
| Orthopedic Physical Therapist | 2251X0800X | NU |
Addresses
Primary practice location
1640 W Roosevelt Rd RM 336
Chicago, IL 60608-1316
Mailing address
739 W Cornelia Ave
N2
Chicago, IL 60657-2460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1640 W Roosevelt
Room 336 Mc628
Chicago, IL 60606-1316
Phone (312) 996-6695
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Physical Therapist | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Board of Trustees of the University of Illinois | Past | Accepting new patients |
Locations
1640 W Roosevelt Rd
#727
Chicago, IL 60608
Phone (312) 413-1871
1640 W Roosevelt Rd
Rm 336
Chicago, IL 60608
Phone (312) 413-1563
5525 S Pulaski Rd
Chicago, IL 60629
Phone (773) 432-0100
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210
Organizations & group practices 4
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.
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
dba Occupational Health Service Institute (OHSI)
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
dba College of Applied Health Sciences Faculty Practice
- Early Intervention Provider Agency
- Chicago, IL
- NPI 1174554331
Physical Therapist
-
dba Medical Service Plan at Peoria
- Pediatrics Physician
- Peoria, IL
- NPI 1467425322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1194231829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "739 W CORNELIA AVE",
"address_2": "N2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606572460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 W ROOSEVELT RD RM 336",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081316",
"telephone_number": "312-413-8046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "OLIVER",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-18",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.023299",
"primary": true
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.