Active NPI
Nicouhl Jay Tolentino Rivera, PT, DPT
- Physical Therapist
- New City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 041725
- Practice address
- 490 Route 304
New City, NY 10956-3040 - Phone
- (845) 507-0477
- NPI assigned
- Mar 19, 2021
- Last updated
- Nov 7, 2024
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 041725 | NY | Primary |
Addresses
Primary practice location
490 Route 304
New City, NY 10956-3040
Mailing address
3119 33Rd St Apt 1
Astoria, NY 11106-2011
Phone (347) 453-2726
Other practice location 1
330 W 58th St Ste 413&407
New York, NY 10019-1827
Phone (347) 453-2726
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
108 S Franklin Ave
Suite 10
Valley Stream, NY 11580-6105
Phone (718) 650-6230
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.87 of 100
- Quality
- 88.31
- Improvement activities
- 40
- Cost
- 69.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041725 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC | Physical Therapist | Current | Accepting new patients |
| Nyc Home Rehab Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Lifelong Strong Health LLC | Physical Therapist | Current | Accepting new patients |
| Shasta Health Physical Therapy Ny PC | Physical Therapist | Current | Accepting new patients |
| Link Home Therapy Services of Ny-PT OT SLP PLLC | Current | Accepting new patients | |
| New York Gao Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
Locations
180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943
805 Broadway
Ste 100
Amityville, NY 11701
Phone (631) 608-8874
800 E Gate Blvd
Garden City, NY 11530
475 Northern Blvd
Ste 37
Great Neck, NY 11021
Phone (516) 344-0023
50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545
169 Madison Ave
Ste 11071
New York, NY 10016
Phone (833) 270-9820
11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300
108 S Franklin Ave
Ste 10
Valley Stream, NY 11580
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Valley Stream, NY
- NPI 1942782966
-
- Occupational Therapist
- Garden City, NY
- NPI 1356742365
Physical Therapist
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1932933264
Physical Therapist
-
- Physical Therapist
- Astoria, NY
- NPI 1386521656
-
- Physical Therapist
- New York, NY
- NPI 1942374418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1639755895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3119 33RD ST APT 1",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111062011",
"telephone_number": "347-453-2726",
"fax_number": "845-684-0673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 ROUTE 304",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109563040",
"telephone_number": "845-507-0477"
}
],
"practiceLocations": [
{
"address_1": "330 W 58th St Ste 413&407",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100191827",
"country_code": "US",
"telephone_number": "347-453-2726",
"fax_number": "845-684-0673",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA",
"first_name": "NICOUHL JAY",
"middle_name": "TOLENTINO",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-19",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "041725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.