Ernesto Rivera, | |
2119 E Hatch Rd Ste A, Modesto, CA 95351-4814 | |
(209) 812-3055 | |
Not Available |
Full Name | Ernesto Rivera |
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Gender | Male |
Speciality | Physical Therapist |
Location | 2119 E Hatch Rd Ste A, Modesto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619684982 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 302796 (California) | Primary |
Provider Name | Golden Bear Physical Therapy Sports Injury Center Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1811084676 PECOS PAC ID: 2961423082 Enrollment ID: O20051215000812 |
Mailing Address | Practice Location Address |
---|---|
Ernesto Rivera, 829 Charles Rd, Hughson, CA 95326-9511 Ph: (209) 505-2156 | Ernesto Rivera, 2119 E Hatch Rd Ste A, Modesto, CA 95351-4814 Ph: (209) 812-3055 |
Ms. Manpreet Kaur Sheabat, PA Physical Therapist Medicare: Medicare Enrolled Practice Location: 2401 E Orangeburg Ave Ste 330, Modesto, CA 95355 Phone: 209-726-7381 | |
Mr. Richard Russell Cox, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 17th St, Ste 202, Modesto, CA 95354 Phone: 209-572-4263 Fax: 209-572-0132 | |
Core Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 122 W Granger Ave, Modesto, CA 95350 Phone: 209-522-2673 Fax: 209-522-2955 | |
Kathleen M Clarke, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 830 Scenic Dr, Modesto, CA 95350 Phone: 209-558-7483 | |
Mr. Scott Leyton Hattersley, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4601 Dale Rd., Modesto, CA 95356 Phone: 209-735-4043 Fax: 209-735-4091 | |
Amy Michelle Halley, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-4039 | |
Elixir Home Health Care & Hospice,inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1935 G St, Modesto, CA 95354 Phone: 209-369-5110 Fax: 209-369-5130 |