Active NPI
Agnes Rivera, PT
- Physical Therapist
- Georgetown, TX
National Provider Identifier
1992001440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1111227
- Practice address
- 501 S Austin Ave
#1310
Georgetown, TX 78626-5637 - Phone
- (512) 864-6050
- Fax
- (512) 869-8157
- NPI assigned
- Feb 1, 2011
- Sex
- Female
- 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 | 1111227 | TX | Primary |
Addresses
Primary practice location
501 S Austin Ave
#1310
Georgetown, TX 78626-5637
Mailing address
501 S Austin Ave
#1310
Georgetown, TX 78626-5637
Phone (512) 864-6050
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 |
|---|---|---|---|
| 1111227 | TX | MD | Oncology Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harden Therapy LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Georgetown, TX
- NPI 1427190545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296518400000",
"number": "1992001440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 S AUSTIN AVE",
"address_2": "#1310",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786265637",
"telephone_number": "512-864-6050",
"fax_number": "512-869-8157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S AUSTIN AVE",
"address_2": "#1310",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786265637",
"telephone_number": "512-864-6050",
"fax_number": "512-869-8157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "AGNES",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-01",
"last_updated": "2011-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1111227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.