Active NPI
Debora Marie Rivera, L.M.T.
- Massage Therapist
- Louisville, KY
National Provider Identifier
1558693432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2320
- Practice address
- 1115 Dupont Circle
Louisville, KY 40207-4020 - Phone
- (502) 897-2400
- NPI assigned
- Feb 3, 2010
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Health Educator | 174H00000X | |||
| Kinesiotherapist | 226300000X | |||
| Recreation Therapist | 225800000X | |||
| Respiratory/Developmental/Rehabilitative Specialist/Technologist | 225500000X | KY | ||
| Mechanotherapist | 172M00000X | |||
| Massage Therapist | 225700000X | 2320 | KY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | KY |
Addresses
Primary practice location
1115 Dupont Circle
Louisville, KY 40207-4020
Mailing address
1707 Millgate Rd
Apt F
Louisville, KY 40223-1062
Phone (502) 599-5126
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210614 | Other | KY | AMTA |
| 549723-07 | Other | NCBTMB |
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 |
|---|---|---|---|
| 2320 | KY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269302400000",
"number": "1558693432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 MILLGATE RD",
"address_2": "APT F",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402231062",
"telephone_number": "502-599-5126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 DUPONT CIRCLE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074020",
"telephone_number": "502-897-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "DEBORA",
"middle_name": "MARIE",
"credential": "L.M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-03",
"last_updated": "2010-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "226300000X",
"taxonomy_group": "",
"desc": "Kinesiotherapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "KY",
"license": "2320",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "KY",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMTA",
"identifier": "210614",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCBTMB",
"identifier": "549723-07",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
- River City Dental Group PLLC
- River City Orthopaedic Surgeons PSC
- River City Orthopaedic Surgeons, PSC
- River Oaks SNF Operations LLC
- Katherine Andrea Rivera Contreras, SA-C
- Elizabeth Anne Rivera, C-AA
- Karen S Rivera, RPH
- Miguel A Rivera, M.D.
- Rivercity Chiropractic and Rehab
- Alberto Rivero Perez, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.