Active NPI
Michelle Teresa Rivera, P.T.
- Physical Therapist
- Lancaster, PA
National Provider Identifier
1316983182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007037L
- Practice address
- 190 N Pointe Blvd
Lancaster, PA 17601-4132 - Phone
- (717) 392-8897
- Fax
- (717) 392-8898
- NPI assigned
- Jun 21, 2006
- 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 | PT007037L | PA | Primary |
Addresses
Primary practice location
190 N Pointe Blvd
Lancaster, PA 17601-4132
Mailing address
1502 Hiemenz Rd
Lancaster, PA 17601-5220
Phone (717) 392-1567
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2075646000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 03219401 | Other | PA | CAPITAL BLUE CROSS |
| 1385638 | Other | PA | HIGHMARK BLUE SHIELD |
| 2075646000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 213663 | Other | PA | HEALTHAMERICA/HEALTHASSUR |
| 2075646000 | Other | PA | PERSONAL CHOICE |
| 03219401 | Other | PA | NCAS |
| 03219401 | Other | PA | KEYSTONE HEALTH PLAN CENT |
| 1385638 | Other | PA | PREMIER BLUE PPO |
| 7209330 | Other | PA | AETNA |
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 |
|---|---|---|---|
| PT007037L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rivera Physical Therapy, PC | Physical Therapist | Current | Accepting new patients |
Locations
190 N Pointe Blvd
Lancaster, PA 17601
Phone (717) 392-8897
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.
-
- Hand Occupational Therapist
- Lancaster, PA
- NPI 1801813233
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316983182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 HIEMENZ RD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176015220",
"telephone_number": "717-392-1567",
"fax_number": "717-392-1567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 N POINTE BLVD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176014132",
"telephone_number": "717-392-8897",
"fax_number": "717-392-8898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "MICHELLE",
"middle_name": "TERESA",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT007037L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "2075646000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "03219401",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1385638",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN EAST",
"identifier": "2075646000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHAMERICA/HEALTHASSUR",
"identifier": "213663",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "2075646000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCAS",
"identifier": "03219401",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN CENT",
"identifier": "03219401",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMIER BLUE PPO",
"identifier": "1385638",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7209330",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.