Bryan Rivera

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

041551-1 Issued in NY

Practice address

2322 30TH Ave
Astoria, NY 11102-3255

Phone

(718) 545-0700

NPI assigned

May 10, 2018

Sex

Male

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Physical Therapy Services of Flatiron PC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1134705676

  Physical Therapist

  Medicare reassignment NPD
• Fresh Pond Physical Therapy, P.C

  • Physical Therapy Clinic/Center
  • Ridgewood, NY
  • NPI 1508844036
  Medicare reassignment

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1205326774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 FRESH POND RD",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855200",
            "telephone_number": "718-456-2545",
            "fax_number": "718-799-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023255",
            "telephone_number": "718-545-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6805 Fresh Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NY",
            "postal_code": "113855200",
            "country_code": "US",
            "telephone_number": "718-456-2545",
            "fax_number": "718-799-9191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "BRYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-10",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041551-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Rios, RPH
• Rite Aid Drug Palace Inc (Rite Aid Pharmacy 01805)
• Rite Aid of New York Inc (Rite Aid Pharmacy 04865)
• Jennifer Rivas
• Rivera Group
• Edgardo Bernardino Rivera, M.D.
• Jerome Tolentino Rivera Jr., DPT
• Michelle Rivera, MD
• Sofia Caroline Rivkin-Haas, LMSW
• Konstantine Rizopoulos, PT, FABS

• Physical Therapist in Astoria, NY
• Providers in Astoria, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.