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

Ernesto Rivera

Individual provider Physical Therapist · NPI 1619684982

Ernesto Rivera is a Physical Therapist in Private Practice in Modesto, California. Qualified in 2022, 4 years ago. Practices with Golden Bear Physical Therapy Sports Injury Center Inc, a 83-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

2119 E Hatch Rd Ste A
Modesto, CA 95351-4814
Phone: (209) 812-3055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 302796 (CA)

Record details

NPI number1619684982
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 4, 2022
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 13, 2023
Mailing address829 Charles Rd, Hughson, CA 95326-9511

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Golden Bear Physical Therapy Sports Injury Center Inc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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