NPIMap

Organization Active NPI

Nyc Home Rehab Physical Therapy PLLC

  • Physical Therapist
  • Astoria, NY
National Provider Identifier
1386521656
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NYC HOME REHAB PHYSICAL THERAPY PLLC
Practice address
3210 35TH St Apt 1F
Astoria, NY 11106-1147
Phone
(859) 810-1597
Fax
(347) 867-8922
NPI assigned
Aug 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Dr. Jerome Tolentino Rivera Jr., DPTNPI 1023670361
Title
Owner
Phone
(859) 810-1597

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3210 35TH St Apt 1F
Astoria, NY 11106-1147

Mailing address

3210 35TH St Apt 1F
Astoria, NY 11106-1147
Phone (859) 810-1597

Other practice location 1

4135 67th St Fl 1
Woodside, NY 11377-3718
Phone (347) 997-0221

Other practice location 2

25 W 45th St Ste 507
New York, NY 10036-4902
Phone (347) 997-0221

Other practice location 3

2308 30th Ave
Long Island City, NY 11102-3494
Phone (347) 997-0221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250926003847 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5991200180 Receives reassigned benefits from 8 practitioners
Practice locations: Astoria, NY; New York, NY; Woodside, NY

National Provider Directory

National Provider Directory

Locations

4135 67th St
Fl 1
Woodside, NY 11377

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1386521656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 35TH ST APT 1F",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111061147",
            "telephone_number": "859-810-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 35TH ST APT 1F",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111061147",
            "telephone_number": "859-810-1597",
            "fax_number": "347-867-8922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4135 67th St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Woodside",
            "state": "NY",
            "postal_code": "113773718",
            "country_code": "US",
            "telephone_number": "347-997-0221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 W 45th St Ste 507",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100364902",
            "country_code": "US",
            "telephone_number": "347-997-0221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2308 30th Ave",
            "address_purpose": "LOCATION",
            "city": "Long Island City",
            "state": "NY",
            "postal_code": "111023494",
            "country_code": "US",
            "telephone_number": "347-997-0221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NYC HOME REHAB PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-19",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "TOLENTINO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-810-1597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.