Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ailene Bundalian Rivera, RPT

Individual provider Geriatric Physical Therapist · NPI 1740212356

Ailene Bundalian Rivera, RPT is a Physical Therapist in Private Practice in Los Angeles, California. Qualified in 1999, 27 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
27
Licensed in
CA
In the registry since
2006
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Practice location Address checks out

1711 W Temple St # 2056
Los Angeles, CA 90026-5421
Phone: (818) 634-6328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 18546 Roscoe Blvd, Northridge, CA 91324-4663 — (818) 634-6328

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence PT28631 (CA)

Record details

NPI number1740212356
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPT
Sole proprietorNo
NPI enumeratedJuly 6, 2006
Last updated in NPPESJanuary 12, 2020
Certification dateJanuary 12, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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