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Destiny Renee Rivera , ATC

Specialist/Technologist - Athletic Trainer • Ogden, UT

Active NPI 1417745530 Individual Practitioner Female Practitioner
Practice location in NPPES

3895 Harrison Blvd
Ogden, UT 844032312

Call 8013877678 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3895 Harrison Blvd

Ogden, UT 844032312

Telephone 8013877678
Organization at the Same NPPES Address or Phone
Mckay Dee Surgical Center Llc Facility NPI 1346420882

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Ogden and Utah

203 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Ogden, UT (712 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Ogden

0% of these 203 clinicians have the CMS telehealth indicator.

0% of these 203 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-04-28
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

License # reported to NPPES UT 13993992-4810

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

12 listed
Dr. Christopher Bell , MD

Family Medicine - Sports Medicine

NPI 1669592069

Doctor of Medicine (M.D.)

Dr. Neil Callister , MD

Surgery - Surgery of the Hand

NPI 1548331358

Doctor of Medicine (M.D.)

Dr. Laila Gerace , DPT

Physical Therapist

NPI 1184117475

Doctor of Physical Therapy

Dr. Tyson Jorgensen , DPT

Physical Therapist - Orthopedic

NPI 1972157576

Doctor of Physical Therapy

NPI 1992309017

Physical Therapist, Doctor of Physical Therapy

Kevin Newbold

Nurse Practitioner - Family

NPI 1366917577

Career & Practice History

NPI enumerated April 28, 2025.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from May 2025 to August 2026.

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NPI Administrative Meta

NPI Number: 1417745530
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 28, 2025
Last Update: April 28, 2025
Sole Proprietor: Yes

Mailing Address

4250 S 1000 W Apt 52

Riverdale, UT 844053333

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.