Active NPI
Tina Rivera, PTA
- Physical Therapy Assistant
- Bloomfield, NJ
National Provider Identifier
1235798505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 40QB00343100
- Practice address
- A Team Approach, PT 265 Broad Street
Suite 4
Bloomfield, NJ 07003 - Phone
- (973) 429-3001
- Fax
- (973) 429-2033
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 40QB00343100 | NJ | Primary |
Addresses
Primary practice location
A Team Approach, PT 265 Broad Street
Suite 4
Bloomfield, NJ 07003
Mailing address
A Team Approach, PT 265 Broad Street
Suite 4
Bloomfield, NJ 07003
Phone (973) 429-3001
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 |
|---|---|---|---|
| 40QB00343100 | NJ | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Team Approach Physical Therapy Center | Past | 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.
-
- Rehabilitation Clinic/Center
- Bloomfield, NJ
- NPI 1467499442
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": "1560211200000",
"number": "1235798505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "A TEAM APPROACH, PT 265 BROAD STREET",
"address_2": "SUITE 4",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "07003",
"telephone_number": "973-429-3001",
"fax_number": "973-429-2033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "A TEAM APPROACH, PT 265 BROAD STREET",
"address_2": "SUITE 4",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "07003",
"telephone_number": "973-429-3001",
"fax_number": "973-429-2033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "TINA",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-11",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NJ",
"license": "40QB00343100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.