Individual provider Active NPI

Nicouhl Jay Tolentino Rivera, PT, DPT

  • Physical Therapist
  • New City, NY
National Provider Identifier
1639755895
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
041725 Issued in NY
Practice address
490 Route 304
New City, NY 10956-3040
Phone
(845) 507-0477
NPI assigned
Mar 19, 2021
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20220823000090 NY Practitioner - Physical Therapist in Private Practice 3971986019 Reassigns benefits to 4 organizations

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
Link Home Therapy Services of Ny-PT OT SLP PLLCGroup PAC ID 2466704713, 42 clinicians

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 100Reported as group
Quality
88.31
Improvement activities
40
Cost
69.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041725NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Physical Therapist CurrentSince Mar 28, 2025 Accepting new patients
Nyc Home Rehab Physical Therapy PLLC Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients
Lifelong Strong Health LLC Physical Therapist CurrentSince Feb 18, 2025 Accepting new patients
Shasta Health Physical Therapy Ny PC Physical Therapist CurrentSince Feb 18, 2025 Accepting new patients
Link Home Therapy Services of Ny-PT OT SLP PLLC CurrentSince Mar 1, 2025 Accepting new patients
New York Gao Physical Therapy PC Physical Therapist PastSince Jan 15, 2025 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.

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.

Verify at the official NPI Registry.