Active NPI
Victor M Rivera
- Assistive Technology Practitioner Rehabilitation Counselor
- Hines, IL
National Provider Identifier
1497442446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Practitioner Rehabilitation Counselor
- License
- NA
- Practice address
- 5000 5TH Ave
Assistive Tech Lab BLD.12 3Rd FLR
Hines, IL 60141 - Phone
- (708) 202-4879
- NPI assigned
- Apr 20, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Assistive Technology Practitioner Rehabilitation Counselor | 225CA2400X | NA | IL | Primary |
Addresses
Primary practice location
5000 5TH Ave
Assistive Tech Lab BLD.12 3Rd FLR
Hines, IL 60141
Mailing address
5000 5TH Ave
Assistive Tech Lab BLD.12 3Rd FLR
Hines, IL 60141
Phone (708) 202-4879
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1497442446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 5TH AVE",
"address_2": "ASSISTIVE TECH LAB BLD.12 3RD FLR",
"city": "HINES",
"state": "IL",
"postal_code": "60141",
"telephone_number": "708-202-4879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 5TH AVE",
"address_2": "ASSISTIVE TECH LAB BLD.12 3RD FLR",
"city": "HINES",
"state": "IL",
"postal_code": "60141",
"telephone_number": "708-202-4879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "VICTOR",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-20",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225CA2400X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
"state": "IL",
"license": "NA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.