| Mark Anthony Rivera, PT | |
|
2500 Hilborn Rd, Fairfield, CA 94534-1097 | |
| (077) 624-8298 | |
| Not Available |
| Full Name | Mark Anthony Rivera |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2500 Hilborn Rd, Fairfield, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932832623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 39591 (California) | Primary |
| Provider Name | Northbay Healthcare Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821147786 PECOS PAC ID: 0042122244 Enrollment ID: O20031105000409 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Anthony Rivera, PT 1020 Nut Tree Rd Ste 260, Vacaville, CA 95687-4100 Ph: (707) 624-8298 | Mark Anthony Rivera, PT 2500 Hilborn Rd, Fairfield, CA 94534-1097 Ph: (077) 624-8298 |
Annapoorna Pidikiti, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1652 W Texas St, Fairfield, CA 94533 Phone: 408-250-2843 | |
Michael Tiopianco, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1255 Travis Blvd, Fairfield, CA 94533 Phone: 707-425-0623 | |
Matthew Lyndon Marshall, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Fairfield, CA 94535 Phone: 916-355-1250 Fax: 916-933-0871 | |
Jeffrery Scott Smith, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 222 Acacia St, Fairfield, CA 94533 Phone: 707-421-2095 | |
Norman Ng, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3250 Rancho Solano Pkwy, Fairfield, CA 94534 Phone: 707-646-5470 | |
John Kellie Ellaga Bariuad, Physical Therapist Medicare: Medicare Enrolled Practice Location: 222 Acacia St, Fairfield, CA 94533 Phone: 707-200-7274 | |
Myra Carreon, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3001 Dover Ave, Fairfield, CA 94533 Phone: 707-428-1311 |