Abigail Mae Perena Ruivivar

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040996 Issued in NY

Practice address

1345 Avenue of the Americas FL 11
New York, NY 10105-0013

Phone

(212) 981-1997

NPI assigned

Sep 14, 2020

Last updated

Sep 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1649885831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8840 53RD AVE APT 2",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735276",
            "telephone_number": "347-400-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 AVENUE OF THE AMERICAS FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101050013",
            "telephone_number": "212-981-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIVIVAR",
        "first_name": "ABIGAIL MAE",
        "middle_name": "PERENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040996",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "011326",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Ruhrkraut, DDS
• Crystal Rui, MD
• Mary Mahoney Ruisi, M.D.
• Jessica Sharon Ruit, PA-C
• Hyacinth Liu Ruiter, M.D.
• Deyanira Ruiz Gardere, LMSW
• Cristal E Ruiz Rodriguez
• Marco Ruiz Santillan, MD
• Maria Teresa Ruiz Tsukazan, M.D.
• Nicholas Andres Ruiz-Huidobro Magdits

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.