Reanna Rivera, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

54002 Issued in CA

Practice address

42150 Jackson St Ste 103&104
Indio, CA 92203-9780

Phone

(442) 300-3200

NPI assigned

Apr 18, 2025

Last updated

Apr 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1699561332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79769 OXFORD DR",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922034512",
            "telephone_number": "760-636-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42150 JACKSON ST STE 103&104",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922039780",
            "telephone_number": "442-300-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "REANNA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "54002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Lynn Ritter
• Estevan Rivas
• Cariza Amellia Rivera
• Dolores Jazmin Rivera
• Edgar Francisco Rivera
• Rene Loredo Rivera, D.C.
• Yesenia Rivera
• Riverside County Department of Mental Health
• Riverside County Dept. of Mental Health Substance Abuse Program
• Riverside County Latino Commission on Alcohol and Drug Abuse Services (Casa Las Palmas Recovery Home)

• Physical Therapy Assistant in Indio, CA
• Providers in Indio, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.