Healthcare Provider Details

I. General information

NPI: 1326970823
Provider Name (Legal Business Name): STRENGTHSPAN PHYSICAL THERAPY & WELLNESS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

498 DEL MEDIO AVE
MOUNTAIN VIEW CA
94040
US

IV. Provider business mailing address

530 SHOWERS DR STE 7
MOUNTAIN VIEW CA
94040-1495
US

V. Phone/Fax

Practice location:
  • Phone: 408-479-4010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HYACILLE KAY RIVERA MAYORDOMO
Title or Position: OWNER
Credential: PT, DPT
Phone: 408-479-4010