Active NPI
Ricky R Rivers Jr., DPT
- Physical Therapist
- Orlando, FL
National Provider Identifier
1982007886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT30075
- Practice address
- 5575 S Semoran Blvd
Orlando, FL 32822-1747 - Phone
- (407) 281-0228
- NPI assigned
- Oct 6, 2014
- 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 Therapist | 225100000X | PT30075 | FL | Primary |
Addresses
Primary practice location
5575 S Semoran Blvd
Orlando, FL 32822-1747
Mailing address
3716 Shawn Cir
Orlando, FL 32826-5307
Phone (704) 804-3010
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 |
|---|---|---|---|
| PT30075 | FL | MD | Physical Therapist |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428278400000",
"number": "1982007886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3716 SHAWN CIR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328265307",
"telephone_number": "704-804-3010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5575 S SEMORAN BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328221747",
"telephone_number": "407-281-0228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERS",
"first_name": "RICKY",
"middle_name": "R",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-06",
"last_updated": "2015-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT30075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.