Individual provider Active NPI

Emily Joy Rivera, DPT

  • Physical Therapist
  • Durham, NC
National Provider Identifier
1700165057
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P19959 Issued in NC
Practice address
245 E NC Highway 54 Ste 102
Durham, NC 27713-2552
Phone
(919) 907-3103
Fax
(919) 907-3104
NPI assigned
Aug 4, 2011
Last updated
Feb 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 26510 FL
Physical Therapist 225100000X P19959 NC Primary

Addresses

Primary practice location

245 E NC Highway 54 Ste 102
Durham, NC 27713-2552

Mailing address

PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350

Other practice location 1

1215 Dunn Ave
Suite 6
Jacksonville, FL 32218-6330
Phone (904) 751-2000

Other practice location 2

13595 Atlantic Blvd Ste B
Jacksonville, FL 32225
Phone (904) 221-4046

Other names 1

  • Emily Bjorndal Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 26510FLMDPhysical Therapist
P19959NCMDPhysical Therapist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1700165057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 E NC HIGHWAY 54 STE 102",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132552",
            "telephone_number": "919-907-3103",
            "fax_number": "919-907-3104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Dunn Ave",
            "address_2": "Suite 6",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322186330",
            "country_code": "US",
            "telephone_number": "904-751-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13595 Atlantic Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32225",
            "country_code": "US",
            "telephone_number": "904-221-4046",
            "fax_number": "904-221-4056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "EMILY",
        "middle_name": "JOY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 26510",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "BJORNDAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.