Active NPI
David A Rivera, P.T., A.T.C.
- Physical Therapist
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 29611
- Practice address
- 6620 E McKellips Rd Ste 105
Mesa, AZ 85215-2867 - Phone
- (602) 648-5444
- Fax
- (602) 772-3801
- NPI assigned
- Dec 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 8423 | AZ | |
| Athletic Trainer | 2255A2300X | AL 1901 | FL | |
| Physical Therapist | 225100000X | PT 29611 | CA | Primary |
| Sports Physical Therapist | 2251S0007X | PT 21877 | FL |
Addresses
Primary practice location
6620 E McKellips Rd Ste 105
Mesa, AZ 85215-2867
Mailing address
6620 E McKellips Rd
Mesa, AZ 85215-2867
Phone (602) 875-8451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1675 E Melrose St
Suite 101 103
Gilbert, AZ 85297-1001
Phone (602) 631-3161
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8423 | AZ | MD | Chiropractor |
| PT 29611 | CA | MD | Physical Therapist |
| PT 21877 | FL | MD | Sports Physical Therapist |
| AL 1901 | FL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Specialists of North America, PLLC | Current | Accepting new patients | |
| Orthopedic Specialists of North America, PLLC | Current | Accepting new patients | |
| Orthopedic Specialists of North America, PLLC | Current | Accepting new patients |
Locations
1675 E Melrose St
Unit 202
Gilbert, AZ 85297
2940 E Banner Gateway Dr
Ste 200250
Gilbert, AZ 85234
1675 E Melrose St
Ste 101103
Gilbert, AZ 85297
Phone (602) 631-3161
6620 E McKellips Rd
Ste 105
Mesa, AZ 85215
Phone (602) 922-9090
6620 E McKellips Rd
Mesa, AZ 85215
Phone (315) 256-8290
2355 E Camelback Rd
Ste 325
Phoenix, AZ 85016
Phone (602) 772-3795
40601 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140
5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1770812828
-
- Orthopaedic Surgery Physician
- Glendale, AZ
- NPI 1144543257
-
- Orthopaedic Surgery Physician
- Gilbert, AZ
- NPI 1962292870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1821075722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6620 E MCKELLIPS RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852152867",
"telephone_number": "602-875-8451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6620 E MCKELLIPS RD STE 105",
"city": "MESA",
"state": "AZ",
"postal_code": "852152867",
"telephone_number": "602-648-5444",
"fax_number": "602-772-3801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "DAVID",
"middle_name": "A",
"credential": "P.T., A.T.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AZ",
"license": "8423",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL 1901",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 29611",
"primary": true
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "FL",
"license": "PT 21877",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.