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
Mailing address3 Cooper Ct, Stony Brook, NY 11790-1303

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