Active NPI
Michelle Rivers, MS, ATC, CES
- Athletic Trainer
- Niagara Falls, NY
National Provider Identifier
1992224976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 004017-01
- Practice address
- 2663 Ferchen St
Niagara Falls, NY 14304-4611 - Phone
- (716) 731-1995
- NPI assigned
- Sep 11, 2017
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 004017-01 | NY | Primary |
Addresses
Primary practice location
2663 Ferchen St
Niagara Falls, NY 14304-4611
Mailing address
2663 Ferchen St
Niagara Falls, NY 14304-4611
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004017-01 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1992224976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2663 FERCHEN ST",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143044611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2663 FERCHEN ST",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143044611",
"telephone_number": "716-731-1995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERS",
"first_name": "MICHELLE",
"credential": "MS, ATC, CES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-11",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "004017-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niagara Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.