Individual provider Active NPI

Kelvin David Lorenzo Rivera, DPT, PT

  • Physical Medicine & Rehabilitation Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1831834753
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
37663 Issued in FL
Practice address
300 Avenue of Champions Ste 100
Palm Beach Gardens, FL 33418-3615
Phone
(561) 223-3872
NPI assigned
May 4, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 37663 FL Primary

Addresses

Primary practice location

300 Avenue of Champions Ste 100
Palm Beach Gardens, FL 33418-3615

Mailing address

300 Avenue of the Champions Ste 100
Palm Beach Gardens, FL 33418-3615
Phone (561) 223-3872

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221207002070 FL Practitioner - Physical Therapist in Private Practice 8224407671 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
S2 Physical Therapy P.a.Group PAC ID 9830426055, 9 clinicians

Practice addresses (Care Compare)

211 S Narcissus Ave
Mu 1
West Palm Beach, FL 33401-5654
Phone (561) 790-8256

Merit-based Incentive Payment System (MIPS)

Final score
83.26 of 100Reported as group
Quality
86.58
Improvement activities
40
Cost
68.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37663FLMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saylor Physical Therapy of Palm Beach Gardens LLC CurrentSince Nov 1, 2022 Accepting new patients
Saylor Physical Therapy West Palm Beach LLC CurrentSince Sep 1, 2023 Accepting new patients
South Florida Neuro Rehab, LLC CurrentSince May 1, 2024 Accepting new patients
S2 Physical Therapy P.a. CurrentSince Sep 25, 2024 Accepting new patients

Locations

1001 N US Highway 1
Ste 102
Jupiter, FL 33477
Phone (561) 277-9011

2090 Palm Beach Lakes Blvd
Ste 900
West Palm Beach, FL 33409
Phone (561) 335-5965

300 Avenue of the Champions
Ste 100
West Palm Beach, FL 33418
Phone (561) 223-3872

8645 N Military Trl
Ste 401
West Palm Beach, FL 33410
Phone (561) 510-7136

211 S Narcissus Ave
Apt 1
West Palm Beach, FL 33401
Phone (561) 790-8256

1 Bridge St
Ste 71
Irvington, NY 10533
Phone (914) 375-3434

Organizations & group practices 4

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": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1831834753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 AVENUE OF THE CHAMPIONS STE 100",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183615",
            "telephone_number": "561-223-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 AVENUE OF CHAMPIONS STE 100",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183615",
            "telephone_number": "561-223-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZO RIVERA",
        "first_name": "KELVIN",
        "middle_name": "DAVID",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "37663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.