Active NPI
Monica J Rivera
- Physical Therapist
- Hercules, CA
National Provider Identifier
1245587013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT12314
- Practice address
- 142 Sparrow Dr
Hercules, CA 94547-1515 - Phone
- (415) 353-1740
- NPI assigned
- Aug 10, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT12314 | CA | Primary |
Addresses
Primary practice location
142 Sparrow Dr
Hercules, CA 94547-1515
Mailing address
PO Box 5806
Hercules, CA 94547-5806
Other names 1
- Monica J Rivera
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT12314 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344556800000",
"number": "1245587013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5806",
"city": "HERCULES",
"state": "CA",
"postal_code": "945475806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 SPARROW DR",
"city": "HERCULES",
"state": "CA",
"postal_code": "945471515",
"telephone_number": "415-353-1740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "MONICA",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-10",
"last_updated": "2012-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT12314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MONICA",
"last_name": "RIVERA",
"middle_name": "J",
"credential": "PT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Hercules, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.