Individual provider Active NPI

Steven Patrick Ribeira, PT

  • Physical Therapist
  • Modesto, CA
National Provider Identifier
1437322575
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
34418 Issued in CA
Practice address
1521 N Carpenter Rd Ste D1
Modesto, CA 95351-1217
Phone
(209) 578-3290
Fax
(209) 550-4944
NPI assigned
Apr 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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 34418 CA Primary

Addresses

Primary practice location

1521 N Carpenter Rd Ste D1
Modesto, CA 95351-1217

Mailing address

1521 N Carpenter Rd Ste D1
Modesto, CA 95351-1217
Phone (209) 578-3290

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

LicenseStateTypeSpecialty
34418CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1437322575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 N CARPENTER RD STE D1",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953511217",
            "telephone_number": "209-578-3290",
            "fax_number": "209-550-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 N CARPENTER RD STE D1",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953511217",
            "telephone_number": "209-578-3290",
            "fax_number": "209-550-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBEIRA",
        "first_name": "STEVEN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "34418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.