Individual provider Active NPI

Gabriella Rivera, PT

  • Physical Therapist
  • Fresno, CA
National Provider Identifier
1093105603
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 42164 Issued in CA
Practice address
2960 E Nees Ave
Ste 108
Fresno, CA 93720-6012
Phone
(559) 322-4103
Fax
(559) 322-4104
NPI assigned
Feb 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 42164 CA Primary

Addresses

Primary practice location

2960 E Nees Ave
Ste 108
Fresno, CA 93720-6012

Mailing address

3400 Calloway Dr Ste 603
Bakersfield, CA 93312-2514
Phone (661) 377-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150402000014 CA Practitioner - Physical Therapist in Private Practice 4385961291 Reassigns benefits to 1 organization
I20190411002608 AZ Practitioner - Physical Therapist in Private Practice 4385961291 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42164CAMDLicensed Psychiatric Technician
PT 42164CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
More Than Physical Therapy, Inc Physical Therapist CurrentSince Jul 17, 2022 Accepting new patients
Terrio Therapy-Fitness, Inc. Physical Therapist CurrentSince Feb 2, 2015 Accepting new patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Jul 24, 2020 Accepting new patients
More Than Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Mar 11, 2019 Accepting new patients
Ideal Rehabilitation LLC Past Accepting new patients

Locations (25 of 50)

11335 W Buckeye Rd
Ste C105
Avondale, AZ 85323

960 E Warner Rd
Ste 7
Chandler, AZ 85225
Phone (480) 417-4930

235 S Dobson Rd
Ste 3
Chandler, AZ 85224
Phone (480) 306-5832

3131 S Market St
Ste 109
Gilbert, AZ 85295

9494 W Northern Ave
Ste 114
Glendale, AZ 85305
Phone (623) 745-3112

18561 N 59th Ave
Ste 117
Glendale, AZ 85308
Phone (602) 313-4089

380 N Estrella Pkwy
Ste A1
Goodyear, AZ 85338
Phone (480) 455-6266

3048 E Baseline Rd
Ste 125
Mesa, AZ 85204
Phone (480) 306-8512

6632 E Baseline Rd
Ste 102
Mesa, AZ 85206
Phone (480) 219-7519

4360 E Brown Rd
Ste 111
Mesa, AZ 85205
Phone (480) 248-7132

1712 S Country Club Dr
Ste 101
Mesa, AZ 85210
Phone (602) 313-4337

805 N Dobson Rd
Ste 105
Mesa, AZ 85201
Phone (480) 844-3609

1752 S Signal Butte Rd
Ste D108
Mesa, AZ 85209
Phone (480) 417-5281

12162 N Rancho Vistoso Blvd
Ste 120
Oro Valley, AZ 85755
Phone (520) 229-0009

10355 N La Canada Dr
Ste 125
Oro Valley, AZ 85737
Phone (520) 407-5966

14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362

9127 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (623) 322-0654

7000 N 16th St
Ste 150
Phoenix, AZ 85020

6036 N 19th Ave
Ste 303
Phoenix, AZ 85015
Phone (602) 313-4155

9250 W Thomas Rd
Ste 280
Phoenix, AZ 85037
Phone (602) 313-4227

2827 W Peoria Ave
Ste B112
Phoenix, AZ 85029
Phone (602) 610-8665

2005 W Happy Valley Rd
Ste 170
Phoenix, AZ 85085
Phone (623) 322-0654

706 E Bell Rd
Ste 121
Phoenix, AZ 85022
Phone (602) 313-4022

4025 E Chandler Blvd
Ste 60
Phoenix, AZ 85048
Phone (480) 417-5271

333 E Osborn Rd
Ste 101
Phoenix, AZ 85012
Phone (602) 388-4026

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1093105603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CALLOWAY DR STE 603",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122514",
            "telephone_number": "661-377-1700",
            "fax_number": "661-616-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 E NEES AVE",
            "address_2": "STE 108",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937206012",
            "telephone_number": "559-322-4103",
            "fax_number": "559-322-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "GABRIELLA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-03",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 42164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.