Provider Demographics
NPI:1184320855
Name:POSESANO, RIVAROSE (PTA)
Entity type:Individual
Prefix:
First Name:RIVAROSE
Middle Name:
Last Name:POSESANO
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:862 RANDOM LN
Mailing Address - Street 2:
Mailing Address - City:DUARTE
Mailing Address - State:CA
Mailing Address - Zip Code:91010-2040
Mailing Address - Country:US
Mailing Address - Phone:626-644-9150
Mailing Address - Fax:
Practice Address - Street 1:715 FREEPORT RD
Practice Address - Street 2:
Practice Address - City:CHESWICK
Practice Address - State:PA
Practice Address - Zip Code:15024-1205
Practice Address - Country:US
Practice Address - Phone:724-274-3773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-03
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49570225200000X
PATE013123225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Single Specialty