Nydia Esther Rivera, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA15780 Issued in FL

Practice address

1919 Lakeland Hills Blvd
Lakeland, FL 33805-2901

Phone

(863) 688-5612

NPI assigned

Jun 5, 2019

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1487212213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9933 EARLSTON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328171829",
            "telephone_number": "407-687-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052901",
            "telephone_number": "863-688-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "NYDIA",
        "middle_name": "ESTHER",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA15780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ileana Ivelisse Rivera, CPI
• Ivan Rivera, MD
• Joffre Rivera, MD
• Maria Denisse Rivera
• Maribel Rivera, RDN, LD, BCBC
• Susan Rivera
• Christine Rivero, LMT
• Aliza Daya Rivers, BCBA
• Christine Monique Amelia Rivers, RBT
• Lauren Estelle Rives

• Occupational Therapy Assistant in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.