Active NPI
Ruben Rivera
- Physical Therapy Assistant
- High Point, NC
National Provider Identifier
1962606038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 3001
- Practice address
- 206 Greensboro Rd
High Point, NC 27260-3456 - Phone
- (336) 882-2164
- Fax
- (336) 882-2164
- NPI assigned
- Jun 13, 2007
- Sex
- Male
- 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 | 3001 | NC | Primary |
Addresses
Primary practice location
206 Greensboro Rd
High Point, NC 27260-3456
Mailing address
4294 Kelso Dr
High Point, NC 27265-9448
Phone (336) 687-2554
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3001 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962606038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4294 KELSO DR",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272659448",
"telephone_number": "336-687-2554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 GREENSBORO RD",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272603456",
"telephone_number": "336-882-2164",
"fax_number": "336-882-2164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "RUBEN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "3001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
- Jake Edwin Ricketson, PSYD
- Sharon Ricketts, RN
- Christine Marie Ridley, LCSWA
- Rite Aid 11333
- Efrain Rivera Bonilla, DC
- Carrie Catherine Robbins, M.S., CCC-SLP
- Lindy Robbins, RN
- Robert W. Von Dohlen, D.D.S., P.C. (von Dohlen Cosmetic & Gentle Dentistry)
- Don Cornelius Roberts
- Eileen Bradshaw Roberts, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.