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

Sidmael Butler-Rivera

Individual provider Physical Therapist · NPI 1063367274

Sidmael Butler-Rivera is a Physical Medicine and Rehabilitation in Jersey City, New Jersey. Qualified in 2025, 1 year ago. Practices with Liberty Physical Therapy PC, an 11-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
1
Licensed in
NJ
In the registry since
2026

Practice location Address checks out

2 Journal Square Plz Fl D1
Jersey City, NJ 07306-4001
Phone: (201) 366-1120
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA02405000 (NJ)

Record details

NPI number1063367274
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 3, 2026
Last updated in NPPESMarch 8, 2026
Certification dateMarch 8, 2026
Mailing address609 Palisade Ave Apt 1, Jersey City, NJ 07307-1023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Liberty Physical Therapy Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jersey City