IndividualActive
Javier Rivera
NPI 1790635969 · Physical Therapy Assistant · Stafford, VA
Provider details
- NPI number
- 1790635969
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 2306606837 (VA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(58/100 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
2 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
95 Dunn Dr Ste 123
Stafford, VA 22556-1503
Phone: (703) 523-9565
Fax: (833) 627-5148
Street-level locationGet directions
Mailing address
95 Dunn Dr Ste 123
Stafford, VA 22556-1503
Additional practice locations (1)
- 4565 Daisy Reid AveWoodbridge, VA 22192-5670Phone: (703) 523-8750
Registry dates
- Enumerated
- 2026-01-29
- Last updated
- 2026-03-05
- Certified
- 2026-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.