Ivan Rafael Villar Rivera

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

13619 41St Ave FL 2
Flushing, NY 11355-2469

Phone

(718) 886-8826

NPI assigned

Feb 7, 2020

Last updated

Feb 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jimmy He Medical PC

  • Medical Specialty Clinic/Center
  • Flushing, NY
  • NPI 1619213600
  Medicare reassignment NPD
• New York Luna Care Physical Therapy PLLC

  • Physical Therapist
  • Pearl River, NY
  • NPI 1194314062
  Medicare reassignment NPD

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1447882428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13619 41ST AVE FL 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552469",
            "telephone_number": "718-886-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13619 41ST AVE FL 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552469",
            "telephone_number": "718-886-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "IVAN RAFAEL VILLAR",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rite Aid of New York Inc (Rite Aid Pharmacy 04863)
• Rite Aid of New York Inc (Rite Aid Pharmacy 04868)
• August J. Riti, ALMFT
• Karla Gysvel Rivas
• Roberto Rivera Salinas
• Julie N. Rivera, JULIE RIVERA, MA-SLP
• RKD Medical PLLC
• Robert B. Rho, M.D., P.C. (Liberty Women's Health Care of Queens - NYC)
• Robert S. Lee Therapeutic Massage, P.C.
• Toni Ann Roberti, L.AC.

• Physical Therapist in Flushing, NY
• Providers in Flushing, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.