Active NPI
Didriana Rivera
- Physical Therapist
- San Antonio, TX
National Provider Identifier
1528308186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1161421
- Practice address
- 12179 Dawson Cir
San Antonio, TX 78253-5597 - Phone
- (210) 551-8878
- NPI assigned
- Feb 19, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1161421 | TX | Primary |
| Physical Therapist | 225100000X | 1281 | PR |
Addresses
Primary practice location
12179 Dawson Cir
San Antonio, TX 78253-5597
Mailing address
12179 Dawson Cir
San Antonio, TX 78253-5597
Phone (210) 551-8878
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1281 | PR | MD | Nutrition Education Nutritionist |
| 1161421 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361232000000",
"number": "1528308186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12179 DAWSON CIR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782535597",
"telephone_number": "210-551-8878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12179 DAWSON CIR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782535597",
"telephone_number": "210-551-8878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "DIDRIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-19",
"last_updated": "2013-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1161421",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "1281",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.