Noah Relova, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

305062 Issued in CA

Practice address

1019 S Main St
Manteca, CA 95337-5703

Phone

(209) 624-1002

NPI assigned

Nov 27, 2023

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Golden Bear Physical Therapy Sports Injury Center IncGroup PAC ID 2961423082, 85 clinicians

Sports and Orthopedic Leaders Physical Therapy IncGroup PAC ID 0446146708, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Golden Bear Physical Therapy Sports Injury Center, Inc

  • Physical Therapy Clinic/Center
  • Modesto, CA
  • NPI 1811084676
  Medicare reassignment Care Compare group NPD
• Sports & Orthopedic Leaders Physical Therapy, Inc

  • Physical Therapist
  • Oakland, CA
  • NPI 1013981760
  Medicare reassignment Care Compare group NPD
• Gold Country Therapies, Inc

  • Physical Therapy Clinic/Center
  • Valley Springs, CA
  • NPI 1447658067
  NPD (past)

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1710753256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 EGRET DR",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953768321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 S MAIN ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953375703",
            "telephone_number": "209-624-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RELOVA",
        "first_name": "NOAH",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "305062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen A. Reardon, MD
• Erielle Ann Apelo Reed, MS
• Reeves, DDS and Lavalley, DDS, a Dental Corporation
• Jody A Reff, PT
• Sandrine Sandrine Reffell, RRT, SDS, RCPII
• Renew Family Therapy, Inc
• Rescare California, Inc.
• Rescare California, Inc.
• Rescare California, Inc.
• Montserrat Reteguin

• Physical Medicine & Rehabilitation Physician in Manteca, CA
• Providers in Manteca, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.