Active NPI
Nikki Rivera, PT
- Physical Therapist
- Romeoville, IL
National Provider Identifier
1215084736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-009059
- Practice address
- 467 N Weber Rd
Romeoville, IL 60446-4144 - Phone
- (815) 886-8771
- Fax
- (815) 886-8772
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- 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 | 070-009059 | IL | Primary |
Addresses
Primary practice location
467 N Weber Rd
Romeoville, IL 60446-4144
Mailing address
205 W Wacker Dr
Chicago, IL 60606-1216
Phone (312) 640-0329
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, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2340 S Eola Rd
Suite 104
Aurora, IL 60503-6413
Phone (630) 978-9200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-009059 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brady, P.C. | Physical Therapist | Current | Accepting new patients |
| Accelerated Rehabilitation Centers LTD | Physical Therapist | Past | Accepting new patients |
Locations
2340 S Eola Rd
Ste 104
Aurora, IL 60503
Phone (630) 978-9200
1337 Lily Cache Ln
Bolingbrook, IL 60490
Phone (630) 226-5110
12640 S Route 59
Unit 110
Plainfield, IL 60585
Phone (815) 676-3905
Organizations & group practices 2
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
- Westmont, IL
- NPI 1205875713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374624000000",
"number": "1215084736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 W WACKER DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606061216",
"telephone_number": "312-640-0329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "467 N WEBER RD",
"city": "ROMEOVILLE",
"state": "IL",
"postal_code": "604464144",
"telephone_number": "815-886-8771",
"fax_number": "815-886-8772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "NIKKI",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2013-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-009059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Romeoville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.