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

Mark Anthony Rivera, PT

Individual provider Physical Therapist · NPI 1932832623

Mark Anthony Rivera, PT is a Physical Therapist in Private Practice in Fairfield, California. Qualified in 2012, 14 years ago. Practices with Northbay Physicians Surgery Center, LLC, a 337-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2500 Hilborn Rd
Fairfield, CA 94534-1097
Phone: (077) 624-8298
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1020 Nut Tree Rd Ste 260, Vacaville, CA 95687-4100 — (707) 624-8298

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 39591 (CA)

Record details

NPI number1932832623
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 8, 2022
Last updated in NPPESJuly 8, 2022
Certification dateJuly 8, 2022
Mailing address1020 Nut Tree Rd Ste 260, Vacaville, CA 95687-4100

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Northbay Physicians Surgery Center, Llc — 337 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fairfield