Organization Active NPI

Protea Physical Therapy & Wellness

  • Physical Therapist
  • Anaheim, CA
National Provider Identifier
1609755776
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROTEA PHYSICAL THERAPY & WELLNESS
Practice address
130 S Chaparral CT Ste 140
Anaheim, CA 92808-2238
Phone
(909) 265-3584
NPI assigned
Sep 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Dr. Lesley Linda Rivera, DPTNPI 1245836618
Title
President
Phone
(714) 349-2356

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

130 S Chaparral CT Ste 140
Anaheim, CA 92808-2238

Mailing address

130 S Chaparral CT Ste 140
Anaheim, CA 92808-2238
Phone (714) 349-2356

National Provider Directory

National Provider Directory

Locations

130 S Chaparral Ct
Ste 140
Anaheim, CA 92808
Phone (909) 265-3584

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1609755776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S CHAPARRAL CT STE 140",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928082238",
            "telephone_number": "714-349-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S CHAPARRAL CT STE 140",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928082238",
            "telephone_number": "909-265-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTEA PHYSICAL THERAPY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-01",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-349-2356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

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