Active NPI
Theresa M Nivar
- Developmental Therapist
- Port St Lucie, FL
National Provider Identifier
1215596309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 535 SW Butler Ave
Port St Lucie, FL 34983-8738 - Phone
- (848) 224-9181
- NPI assigned
- Jun 11, 2019
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
535 SW Butler Ave
Port St Lucie, FL 34983-8738
Mailing address
535 SW Butler Ave
Port St Lucie, FL 34983-8738
Phone (848) 224-9181
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tnivar82@outlook.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | tnivar82@outlook.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | tnivar82@outlook.com | Health Information Exchange (HIE) |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care2Learn LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Early Intervention Provider Agency
- Port St Lucie, FL
- NPI 1487527701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1215596309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 SW BUTLER AVE",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349838738",
"telephone_number": "848-224-9181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 SW BUTLER AVE",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349838738",
"telephone_number": "848-224-9181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIVAR",
"first_name": "THERESA",
"middle_name": "M",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-11",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tnivar82@outlook.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1521 SE 1st Ter",
"city": "Cape Coral",
"state": "FL",
"country_code": "US",
"postal_code": "339901752",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tnivar82@outlook.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1521 SE 1st Ter",
"city": "Cape Coral",
"state": "FL",
"country_code": "US",
"postal_code": "339901752",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tnivar82@outlook.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "535 SW Butler Ave",
"city": "Port St Lucie",
"state": "FL",
"country_code": "US",
"postal_code": "349838738",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.