Individual provider Active NPI

Rene Antonio Rivera, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1891121034
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
036508 Issued in NY
Practice address
1221 Avenue of the Americas
New York, NY 10020-1001
Phone
(646) 562-0617
Fax
(212) 302-1106
NPI assigned
Sep 19, 2013
Last updated
May 13, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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 036508 NY Primary

Addresses

Primary practice location

1221 Avenue of the Americas
New York, NY 10020-1001

Mailing address

1385 Boston Post Rd
Larchmont, NY 10538-3933
Phone (914) 315-1800

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

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Physical Therapy,PC Physical Therapist CurrentSince Oct 3, 2013 Accepting new patients
Recovery Physical Therapy, PC Physical Therapist CurrentSince Oct 3, 2013 Accepting new patients
Recovery Physical Therapy, P.C. Physical Therapist Current Accepting new patients
Profitness Physical Therapy PC Physical Therapist CurrentSince Dec 20, 2021 Accepting new patients
Perfect Stride Physical Therapy Past Accepting new patients
Profitness Physical Therapy PastSince Dec 20, 2021 Accepting new patients

Locations

50 Court St
Ste 1210
Brooklyn, NY 11201
Phone (718) 858-6546

1385 Boston Post Rd
Larchmont, NY 10538
Phone (914) 315-1800

1221 Avenue of the Americas
New York, NY 10020
Phone (212) 840-8240

171 E 84th St
Fl 2
New York, NY 10028
Phone (212) 327-0600

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1891121034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 BOSTON POST RD",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383933",
            "telephone_number": "914-315-1800",
            "fax_number": "914-315-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 AVENUE OF THE AMERICAS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100201001",
            "telephone_number": "646-562-0617",
            "fax_number": "212-302-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "RENE",
        "middle_name": "ANTONIO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-19",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.