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

Mr. Andrew Rivera, PTA

Individual provider Orthopedic Physical Therapist · NPI 1003621103

Mr. Andrew Rivera, PTA is an Orthopedic Physical Therapist in Lakeland, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2025
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

3900 S Florida Ave Ste 107
Lakeland, FL 33813-1150
Phone: (863) 647-3665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 520 S Florida Ave, Lakeland, FL 33801-5229 — (863) 268-2608

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 45019 (FL)

Record details

NPI number1003621103
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedFebruary 7, 2025
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing address3647 Lazy Lake Dr S, Lakeland, FL 33801-6470

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