Individual provider Active NPI

Marilian T. Rivera, MSPT

  • Physical Therapist
  • Toa Alta, PR
National Provider Identifier
1700190048
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1403 Issued in PR
Practice address
2002 Calle Reyna Mora
Hacienda El Pilar
Toa Alta, PR 00953-9421
Phone
(787) 944-6826
NPI assigned
Jul 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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 1403 PR Primary

Addresses

Primary practice location

2002 Calle Reyna Mora
Hacienda El Pilar
Toa Alta, PR 00953-9421

Mailing address

2002 Calle Reyna Mora
Hacienda El Pilar
Toa Alta, PR 00953-9421
Phone (787) 944-6826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110103000882 PR Practitioner - Physical Therapist in Private Practice 1951599117 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1403PRMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
M&R Physical Therapy L.L.C. CurrentSince Sep 30, 2019 Accepting new patients

Locations

1395 Calle San Rafael
Santurce, PR 00909
Phone (787) 303-5410

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1700190048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 CALLE REYNA MORA",
            "address_2": "HACIENDA EL PILAR",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009539421",
            "telephone_number": "787-944-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 CALLE REYNA MORA",
            "address_2": "HACIENDA EL PILAR",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009539421",
            "telephone_number": "787-944-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "MARILIAN",
        "middle_name": "T.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.