Ma. Cristina Divina Rivilla, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

53693 Issued in CA

Practice address

12665 Garden Grove Blvd Ste 603
Garden Grove, CA 92843-1920

Phone

(714) 643-9012

Fax

(714) 643-9015

NPI assigned

Oct 30, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Progressive Physical Therapy Plus

  dba Progressive Physical Therapy and Rehabilitation Inc.

  • Physical Therapist
  • Garden Grove, CA
  • NPI 1083091631

  Single Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1053133918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12771 CHELSEA CIR",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404109",
            "telephone_number": "657-636-3499",
            "fax_number": "714-643-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD STE 603",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431920",
            "telephone_number": "714-643-9012",
            "fax_number": "714-643-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVILLA",
        "first_name": "MA. CRISTINA DIVINA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "53693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Jasmine Rivera
• Nataly Rivera
• Tatiana Rivera
• Adam Quinn Rivers
• Riverview Medical Group, Inc
• Fizza Rizvi
• Iqra Rizwan
• Kyung Kook Ro, MD
• Grace Robbins
• Kaydynn Roberti

• Physical Therapy Assistant in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.