Katie Ann Rivers, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

12881 Issued in NC

Practice address

617 Gales Ave
Winston Salem, NC 27103-3715

Phone

(334) 332-6742

Fax

(336) 293-8199

NPI assigned

Sep 14, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• We Achieve Pediatric Therapy, LLC

  • Occupational Therapist
  • Mocksville, NC
  • NPI 1891149589
  NPD (past)

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1285967802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 GALES AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033715",
            "telephone_number": "334-332-6742",
            "fax_number": "336-293-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 GALES AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033715",
            "telephone_number": "334-332-6742",
            "fax_number": "336-293-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "KATIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "12881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7212896",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenia Rivas
• Jeffrey Orlando Rivera Torres, COUNSELOR
• Catherine M Rivera
• Peter David Rivera, M.D.
• John S. Riveral, PA-C
• Patricia Rivers
• Edward Allen Rives, MD
• Emily Rives, LMFT
• Katherine Sarah Rives, LCSW
• Peter Elliott Rives

• Pediatric Physical Therapist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Pediatric Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.