Individual provider Active NPI

Stacey Marie Rivet, PT, MSPT

  • Physical Therapist
  • Los Gatos, CA
National Provider Identifier
1578708996
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
35160 Issued in CA
Practice address
15100 Los Gatos Blvd
Suite #1
Los Gatos, CA 95032-2028
Phone
(408) 358-1460
Fax
(408) 358-1459
NPI assigned
Dec 15, 2008
Last updated
Dec 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 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 35160 CA Primary

Addresses

Primary practice location

15100 Los Gatos Blvd
Suite #1
Los Gatos, CA 95032-2028

Mailing address

15100 Los Gatos Blvd.
Suite #1
Los Gatos, CA 95032
Phone (408) 358-1460

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
35160CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Los Gatos Orthopedic Sports Therapy, Inc. Physical Therapist PastSince Jul 28, 2008 Accepting new patients
Los Gatos Hand Therapy, LLC PastSince Jun 6, 2021 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229299200000",
    "number": "1578708996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15100 LOS GATOS BLVD.",
            "address_2": "SUITE #1",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "408-358-1460",
            "fax_number": "408-358-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 LOS GATOS BLVD",
            "address_2": "SUITE #1",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322028",
            "telephone_number": "408-358-1460",
            "fax_number": "408-358-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVET",
        "first_name": "STACEY",
        "middle_name": "MARIE",
        "credential": "PT, MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-15",
        "last_updated": "2008-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "35160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.