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

Individual provider Physical Therapist · NPI 1649885831

Abigail Mae Perena Ruivivar is a Physical Therapist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1345 Avenue Of The Americas Fl 11
New York, NY 10105-0013
Phone: (212) 981-1997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 040996 (NY)
Physical Therapy Assistant Taxonomy 225200000X · Licence 011326 (NY)

Record details

NPI number1649885831
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 14, 2020
Last updated in NPPESSeptember 14, 2020
Certification dateSeptember 14, 2020

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