River City Medical Group, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RIVER CITY MEDICAL GROUP, INC.

Doing business as

University Physical Therapy

Practice address

7311 Greenhaven Dr Ste 200
Sacramento, CA 95831-3594

Phone

(916) 570-7900

Fax

(916) 424-6024

NPI assigned

Mar 22, 2021

Organization subpart

Yes

Parent organization

RIVER CITY MEDICAL GROUP, INC.As reported in NPPES

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

Authorized official

Name

Amy Clothier

Title

Credentialing Manager

Phone

(916) 228-4300

Specialties & licenses 1

Addresses

Other names 1

• University Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• River City Medical Group Inc

  • Family Medicine Physician
  • Sacramento, CA
  • NPI 1396198958

  O20160915002180

  Same enrollment
• River City Medical Group, Inc.

  • Pulmonary Disease Physician
  • Sacramento, CA
  • NPI 1912670308

  O20160915002180

  Same enrollment

Part of

River City Medical Group Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• River City Medical Group, Inc.

  • Exclusive Provider Organization
  • Sacramento, CA
  • NPI 1538300686
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel DO Rodriguez, PT, DPT

  • Physical Therapist
  • Sacramento, CA
  • NPI 1700610698
  NPD
• Mika Ishisaka

  • Physical Therapist
  • Westminster, MD
  • NPI 1447833991
  NPD
• Pim Jacob Anthony Lewis, PT

  • Physical Therapist
  • Sacramento, CA
  • NPI 1932023462
  NPD (past)
• Jordan Gregory Stoever, PT, DPT

  • Physical Therapist
  • Carmichael, CA
  • NPI 1881270189
  NPD (past)

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1225614068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7311 GREENHAVEN DR STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313594",
            "telephone_number": "916-570-7900",
            "fax_number": "916-424-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7311 GREENHAVEN DR STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313594",
            "telephone_number": "916-570-7900",
            "fax_number": "916-424-6024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2288 Auburn Blvd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958211619",
            "country_code": "US",
            "telephone_number": "916-570-7900",
            "fax_number": "916-424-6024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIVER CITY MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVER CITY MEDICAL GROUP, INC.",
        "enumeration_date": "2021-03-22",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "CLOTHIER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "916-228-4300"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica Marie Rivas, BCBA
• Zilah Rivas
• River City Medical Group Inc
• River City Medical Group, Inc.
• River City Medical Group, Inc.
• River City Medical Group, Inc.
• River City Medical Group, Inc.
• River City Medical Group, Inc.
• River City Medical Group, Inc.
• River City Pharmacy, Inc.

• Physical Therapist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.