IndividualActive
Jivaun Daley, PTA
NPI 1124904222 · Physical Therapy Assistant · Riverside, CA
Provider details
- NPI number
- 1124904222
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 54135 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4300 Central Ave
Riverside, CA 92506-2918
Phone: (951) 222-2208
Street-level locationGet directions
Mailing address
14243 Harvest Valley Ave
Eastvale, CA 92880-9439
Additional practice locations (2)
- Po Box 6Corona, CA 92878-0006Phone: (951) 736-9500
- 59 S Milliken Ave Ste 100Ontario, CA 91761-7811Phone: (909) 605-8888
Registry dates
- Enumerated
- 2025-08-13
- Last updated
- 2025-08-13
- Certified
- 2025-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.