Organization Active NPI

Viva Physical Therapy & Wellness Inc

  • Physical Therapist
  • San Rafael, CA
National Provider Identifier
1902702335
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VIVA PHYSICAL THERAPY & WELLNESS INC
Practice address
365 Las Colindas Rd
San Rafael, CA 94903-2407
Phone
(415) 319-0263
NPI assigned
Oct 14, 2026
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Authorized official

Name
Aisling McMahon, DPT
Title
Owner
Phone
(415) 319-2063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

365 Las Colindas Rd
San Rafael, CA 94903-2407

Mailing address

365 Las Colindas Rd
San Rafael, CA 94903-2407
Phone (415) 319-0263

NPI Registry JSON

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

{
    "created_epoch": "1791936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1902702335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 LAS COLINDAS RD",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032407",
            "telephone_number": "415-319-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 LAS COLINDAS RD",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032407",
            "telephone_number": "415-319-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVA PHYSICAL THERAPY & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "AISLING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-319-2063",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.