Diana Tamara Riveros, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA27452 Issued in FL

Practice address

4820 Park Blvd N
Suite E
Pinellas Park, FL 33781-3534

Phone

(727) 369-6355

Fax

(727) 362-4766

NPI assigned

Apr 13, 2017

Sex

Female

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

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.

• Life in Motion Physical & Hand Therapy

  • Orthopedic Physical Therapist
  • Pinellas Park, FL
  • NPI 1194152439
  NPD (past)

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1477087682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 49TH ST N",
            "address_2": "# 154",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813440",
            "telephone_number": "727-369-6355",
            "fax_number": "727-362-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 PARK BLVD N",
            "address_2": "SUITE E",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813534",
            "telephone_number": "727-369-6355",
            "fax_number": "727-362-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVEROS",
        "first_name": "DIANA",
        "middle_name": "TAMARA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA27452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Patricia Rivera, RN
• Yazmin Alyssa Rivera, BS
• Adrienne Driggers Riveros, MOTR/L
• Ashley Lynn Riveros, MOTR/L
• Carlos Riveros, DPT
• Rob Alves PSYD LP PA
• Lauren Roberts
• Markitia L Robinson, MC
• Lidy Caridad Rodriguez Sanchez
• Claudia Rodriguez Tergas

• Physical Therapy Assistant in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.