Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeffrey Rivera

Individual provider Physical Therapy Assistant · NPI 1073130985

Jeffrey Rivera is a Physical Therapy Assistant in Stony Brook, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
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Practice location Address checks out

3 Cooper Ct
Stony Brook, NY 11790-1303
Phone: (631) 894-7147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 011528-1 (NY)

Record details

NPI number1073130985
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 26, 2020
Last updated in NPPESJune 26, 2020
Certification dateJune 26, 2020

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