Samuel Adolfo Rivera

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

4507 SW 195TH Ter
Miramar, FL 33029-6211

Phone

(954) 734-0817

NPI assigned

Jun 11, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sobe Innovative Rehabilitation PLLCGroup PAC ID 4789994336, 178 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sobe Innovative Rehabilitation PLLC

  • Physical Therapist
  • Miami, FL
  • NPI 1164800595
  Medicare reassignment Care Compare group NPD
• Florida Luna Care Physical Therapy LLC

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1114542032
  Medicare reassignment NPD
• Miracle Workers LLC

  • Physical Therapy Assistant
  • Fort Lauderdale, FL
  • NPI 1124789656
  Medicare reassignment NPD
• RMM Therapy and Rehabilitation LLC

  • Occupational Therapist
  • Hallandale Beach, FL
  • NPI 1679198964

  Physical Therapist

  Medicare reassignment NPD
• Vengeance Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Miami Beach, FL
  • NPI 1760129753

  Physical Therapist

  Medicare reassignment NPD
• Prestige Sports and Regenerative Medicine LLC

  dba Prestige Concierge PT-OT-SLP and RT

  • Physical Therapist
  • Fort Lauderdale, FL
  • NPI 1750100723
  NPD

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

{
    "created_epoch": "1654905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654905600000",
    "number": "1912637158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 SW 195TH TER",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330296211",
            "telephone_number": "954-734-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507 SW 195TH TER",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330296211",
            "telephone_number": "954-734-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "SAMUEL",
        "middle_name": "ADOLFO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-11",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Alfonso Rivera, COUNSELOR
• Charlene Rivera, FNP-C
• Denise Rivera
• Felipe Rivera, L.M.T
• Jessica Esther Rivera, PSY.D.
• Sara Rivera
• Veronica Rivera
• Isamara Rivero Garcia
• Rivero Group Homes 6
• Nivia Rivero-Martinez

• Physical Therapist in Miramar, FL
• Providers in Miramar, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.