Provider Demographics
NPI:1801813233
Name:RIVERA PHYSICAL THERAPY, PC
Entity Type:Organization
Organization Name:RIVERA PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANANGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FLORA
Authorized Official - Middle Name:
Authorized Official - Last Name:FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-735-2080
Mailing Address - Street 1:190 N POINTE BLVD
Mailing Address - Street 2:SUITE TWO
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4132
Mailing Address - Country:US
Mailing Address - Phone:717-329-8897
Mailing Address - Fax:717-392-8898
Practice Address - Street 1:190 N POINTE BLVD
Practice Address - Street 2:SUITE TWO
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4132
Practice Address - Country:US
Practice Address - Phone:717-329-8897
Practice Address - Fax:717-392-8898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA224Z00000X224Z00000X
PA2251E1200X2251E1200X
PA2251S0007X2251S0007X
PA2251X0800X2251X0800X
PA225X00000X225X00000X
PA225XH1200X225XH1200X
PA225100000X, 225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
Not Answered2251E1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistErgonomicsGroup - Multi-Specialty
Not Answered2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Multi-Specialty
Not Answered2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Not Answered225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0256101OtherCIGNA
PA03219300OtherCAPITAL BLUE CROSS
PA1384751OtherHIGHMARK BLUE SHIELD
PA1384751OtherKEYSTONE HEALTH PLAN CENT
PA2078891000OtherINDEPENDENCE BLUE CROSS
PA2078891000OtherKEYSTONE HEALTH PLAN EAST
PA2078891000OtherAMERIHEALTH ADMINISTRATOR
PA213661OtherHEALTHAMERICA/HEALTHASSUR
PA7531332OtherAETNA
PA=========OtherSOUTH CENTRAL PREFERRED
PA2078891000OtherAMERIHEALTH ADMINISTRATOR
PA=========OtherFIRST HEALTH
PA=========OtherTRICARE FOR LIFE
PA2078891000OtherKEYSTONE HEALTH PLAN EAST
PA=========OtherDEVON HEALTH PLAN
PA=========OtherCENTRAL PA TEAMSTER