Active NPI
Rebecca Regina Rivera, PT
- Physical Therapist
- Mayfield, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00002565
- Practice address
- 401 Indiana Ave
Mayfield, KY 42066-1766 - Phone
- (270) 247-0200
- NPI assigned
- Dec 5, 2017
- Last updated
- Dec 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 00002565 | KY | Primary |
Addresses
Primary practice location
401 Indiana Ave
Mayfield, KY 42066-1766
Mailing address
401 Indiana Ave
Mayfield, KY 42066-1766
Phone (270) 247-0200
Other names 1
- Jenny Rivera
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
550 Hwy 62 W
Suite 400
Princeton, KY 42445-2435
Phone (270) 365-9599
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00002565 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caldwell County Hospital, Inc. | Current | Accepting new patients | |
| Caldwell County Hospital, Inc | Single Specialty | Current | Accepting new patients |
| Caldwell County Hospital, Inc | Single Specialty | Current | Accepting new patients |
Locations
100 Medical Center Dr
Princeton, KY 42445
Phone (270) 365-0300
320 Micbeth Dr
Princeton, KY 42445
Phone (270) 365-0320
550 US Highway 62 W
Ste 400
Princeton, KY 42445
Phone (270) 365-0300
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GIDFCD
Organizations & group practices 3
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.
-
dba Caldwell Medical Associates
- Physician Assistant
- Princeton, KY
- NPI 1891207460
Single Specialty
-
- Occupational Medicine Physician
- Princeton, KY
- NPI 1780688333
Single Specialty
-
dba Caldwell Medical Associates
- Rural Health Clinic/Center
- Eddyville, KY
- NPI 1780464826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512432000000",
"number": "1487169074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 INDIANA AVE",
"city": "MAYFIELD",
"state": "KY",
"postal_code": "420661766",
"telephone_number": "270-247-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 INDIANA AVE",
"city": "MAYFIELD",
"state": "KY",
"postal_code": "420661766",
"telephone_number": "270-247-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "REBECCA",
"middle_name": "REGINA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-05",
"last_updated": "2017-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "00002565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNY",
"last_name": "RIVERA",
"credential": "PT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mayfield, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.