Active NPI
Melinda Rivera, LPTA
- Physical Therapy Assistant
- Mechanicsville, VA
National Provider Identifier
1760978332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 9130 Stephens Manor Dr
Mechanicsville, VA 23116-5165 - Phone
- (804) 798-8043
- NPI assigned
- Jul 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Primary |
Addresses
Primary practice location
9130 Stephens Manor Dr
Mechanicsville, VA 23116-5165
Mailing address
9372 Drawbridge Rd
Mechanicsville, VA 23116-2776
Phone (919) 561-9439
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530921600000",
"number": "1760978332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9372 DRAWBRIDGE RD",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231162776",
"telephone_number": "919-561-9439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9130 STEPHENS MANOR DR",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231165165",
"telephone_number": "804-798-8043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "MELINDA",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-07",
"last_updated": "2018-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.