Active NPI
Ivanna Rivera, OTR
- Occupational Therapist
- Wappingers Falls, NY
National Provider Identifier
1194581744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 030465-01
- Practice address
- 167 Myers Corners Rd
Wappingers Falls, NY 12590-3869 - Phone
- (845) 485-9803
- NPI assigned
- Feb 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Occupational Therapist | 225X00000X | 030465-01 | NY | Primary |
Addresses
Primary practice location
167 Myers Corners Rd
Wappingers Falls, NY 12590-3869
Mailing address
223 Livingston Ave
Lyndhurst, NJ 07071-1863
Phone (201) 314-4864
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030465-01 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1194581744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 LIVINGSTON AVE",
"city": "LYNDHURST",
"state": "NJ",
"postal_code": "070711863",
"telephone_number": "201-314-4864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 MYERS CORNERS RD",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125903869",
"telephone_number": "845-485-9803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "IVANNA",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-22",
"last_updated": "2025-08-22",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "030465-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wappingers Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.