Individual provider Active NPI

Nicole M Rivera, DPT

  • Physical Therapist
  • North Chili, NY
National Provider Identifier
1710471149
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3237 Union St
North Chili, NY 14514-1129
Phone
(585) 594-1688
Fax
(585) 594-9273
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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 Primary

Addresses

Primary practice location

3237 Union St
North Chili, NY 14514-1129

Mailing address

3237 Union St
North Chili, NY 14514-1129
Phone (585) 594-1688

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180813000166 NY Practitioner - Physical Therapist in Private Practice 7012265739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shuman Physical Therapy Associates PCGroup PAC ID 6709869209, 142 clinicians

Practice addresses (Care Compare)

1564 Long Pond Rd
Rochester, NY 14626-4119
Phone (585) 227-4477

1655 Elmwood Ave
Suite 130
Rochester, NY 14620-3428
Phone (585) 442-9110

2700 Brighton Henrietta Town Line Rd
Rochester, NY 14623-2716
Phone (585) 272-0188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043091NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Shuman Physical Therapy Associates, P.C. Physical Therapist CurrentSince Jan 1, 2020 Accepting new patients

Locations

229 Parrish St
Ste 220
Canandaigua, NY 14424
Phone (585) 394-3920

3237 Union St
North Chili, NY 14514
Phone (585) 594-1688

1655 Elmwood Ave
Ste 130
Rochester, NY 14620
Phone (585) 442-9110

1564 Long Pond Rd
Rochester, NY 14626
Phone (585) 227-2580

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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1710471149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3237 UNION ST",
            "city": "NORTH CHILI",
            "state": "NY",
            "postal_code": "145141129",
            "telephone_number": "585-594-1688",
            "fax_number": "585-594-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3237 UNION ST",
            "city": "NORTH CHILI",
            "state": "NY",
            "postal_code": "145141129",
            "telephone_number": "585-594-1688",
            "fax_number": "585-594-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chili, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.