Active NPI
Jose E Rivera, ATC.
- Athletic Trainer
- Monroeville, PA
National Provider Identifier
1629516752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT001163A
- Practice address
- 425 Alpine Village Dr
Monroeville, PA 15146-3752 - Phone
- (724) 931-0628
- NPI assigned
- Feb 9, 2017
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT001163A | PA | Primary |
Addresses
Primary practice location
425 Alpine Village Dr
Monroeville, PA 15146-3752
Mailing address
425 Alpine Village Dr
Monroeville, PA 15146-3752
Phone (724) 931-0628
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RT001163A | Other | PA | STATE LICENSE |
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 |
|---|---|---|---|
| RT001163A | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486598400000",
"number": "1629516752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 ALPINE VILLAGE DR",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151463752",
"telephone_number": "724-931-0628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 ALPINE VILLAGE DR",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151463752",
"telephone_number": "724-931-0628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "JOSE",
"middle_name": "E",
"name_prefix": "Prof.",
"credential": "ATC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-09",
"last_updated": "2017-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT001163A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "RT001163A",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.