Active NPIIndividual providerSole proprietor

Amanda E Rivera, ATC, LAT, CKTP

Specialist/Technologist, Athletic Trainer in Pelham, New York

NPI Number1699117788
Practice location
342 Fifth Ave, Pelham, NY 10803-1204
Fax
—
Last updated
July 18, 2013

Amanda E Rivera is a Specialist/Technologist, Athletic Trainer based in Pelham, NY. Amanda E Rivera practices in Pelham, NY and has the professional credentials of ATC, LAT, CKTP. The NPI Number for Amanda E Rivera is 1699117788 and holds a License No. 67002141 (NY). The current practice location address for Amanda E Rivera is 342 Fifth Ave, Pelham, NY 10803-1204 and can be reached out via phone at 914-738-1748.

Provider Profile Details

NPI Number
1699117788
Provider Name
Amanda E Rivera
Credential
ATC, LAT, CKTP
Provider Entity Type
Individual
Gender
Female
Address
342 Fifth Ave, Pelham, NY 10803-1204
Phone Number
914-738-1748
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
July 18, 2013
Last Update Date
July 18, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
342 Fifth Ave
Pelham, NY 10803-1204
City
Pelham
Zip
10803-1204
Phone Number
914-738-1748
Pelham, NY 10803Get directions →

Provider Business Mailing Address Details

Address
565 Broadway
Apt 1C
Hastings On Hudson, NY 10706-1730
City
Hastings On Hudson
State
NY
Zip
10706-1730
Phone Number
914-819-7174

License Information

License Number
67002141
License State
NY
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amanda E Rivera, ATC, LAT, CKTP?

The NPI number of Amanda E Rivera, ATC, LAT, CKTP is 1699117788. It was assigned on July 18, 2013 and is currently active in the NPPES registry.

What is the specialty of Amanda E Rivera, ATC, LAT, CKTP?

Amanda E Rivera, ATC, LAT, CKTP is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NY under license number 67002141.

Where does Amanda E Rivera, ATC, LAT, CKTP practice?

The practice location is 342 Fifth Ave, Pelham, NY 10803-1204. The office can be reached at 914-738-1748 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699117788 directly on the NPPES registry website.

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