Elisa Beth Rivera, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT124056 Issued in TX

Practice address

27238 Rio Pass
Boerne, TX 78015-4842

Phone

(210) 556-9811

NPI assigned

Jan 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Elisa Beth Orr Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1942071196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27238 RIO PASS",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780154842",
            "telephone_number": "210-556-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27238 RIO PASS",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780154842",
            "telephone_number": "210-556-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ELISA",
        "middle_name": "BETH",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": "MT124",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT124056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISA",
            "last_name": "ORR",
            "middle_name": "BETH",
            "credential": "LMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rigel Geriatrics PLLC
• Rosemany Riskind, LVN
• Eric R Ritchie, MD
• River Road Pharmacy
• River Road Pharmacy
• Jacqueline Rivera, OTR
• Riverview Nursing and Rehabilitation LP
• Robert E Graser DPM, PA
• Lynn Roberts, OTR
• Susan Sammon Roberts, M.ED., L.P.C.

• Massage Therapist in Boerne, TX
• Providers in Boerne, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.