Individual provider Active NPI

Jonathan Rivero, PTA

  • Physical Therapy Assistant
  • Lubbock, TX
National Provider Identifier
1235044959
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2178433 Issued in TX
Practice address
4302 Princeton St
Lubbock, TX 79415-1304
Phone
(806) 749-2222
NPI assigned
Aug 17, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2178433 TX Primary

Addresses

Primary practice location

4302 Princeton St
Lubbock, TX 79415-1304

Mailing address

1524 County Road 3040
Lubbock, TX 79403-7828

Other practice location 1

5406 Colgate St
Lubbock, TX 79416-3205
Phone (806) 507-3500

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

NPI Registry JSON

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1235044959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 COUNTY ROAD 3040",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794037828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 PRINCETON ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794151304",
            "telephone_number": "806-749-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5406 Colgate St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794163205",
            "country_code": "US",
            "telephone_number": "806-507-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERO",
        "first_name": "JONATHAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2178433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.