Individual provider · Type 1 NPI
Jordan Ted Rivera
Rehabilitation Practitioner · San Jose, CA
NPI number
1134089188
Active
Practice location
232 E Gish Rd
San Jose, CA 95112-4706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Practitioner Primary | 225400000X | None listed |
Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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About NPI 1134089188
Jordan Ted Rivera's National Provider Identifier is 1134089188, issued on Nov 13, 2025. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Jose, CA. The record was last updated on Nov 13, 2025.