=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184320855
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RIVAROSE POSESANO PTA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/03/2023
-----------------------------------------------------
Last Update Date | 05/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 715 FREEPORT RD
-----------------------------------------------------
City | CHESWICK
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15024-1205
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-274-3773
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 862 RANDOM LN
-----------------------------------------------------
City | DUARTE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91010-2040
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 626-644-9150
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225200000X
-----------------------------------------------------
Taxonomy Name | Physical Therapy Assistant
-----------------------------------------------------
License Number | 49570
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 225200000X
-----------------------------------------------------
Taxonomy Name | Physical Therapy Assistant
-----------------------------------------------------
License Number | TE013123
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------