CARLA RENEE RIVERA (DPT) – Physical Therapist, NPI 1053547893

CARLA RENEE RIVERA (DPT) is a healthcare provider. based in Fort carson, Colorado. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT5197 (HI). The NPI Number for CARLA RENEE RIVERA (DPT) is 1053547893

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
CARLA RENEE RIVERA (DPT)
NPI
1053547893
Phone
(719) 526-7048
Address
1650 Cochrane Circle
Enumeration Date
8 June 2009
Last Update Date
13 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3018707366
Graduation Year
2009 (17 years ago)
PAC ID
5496017873
Group Practice PAC ID
7416244322
Professional Enrollment ID
I20180323000022
Address ID
MD206034850WA3320XHWYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,986 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CO

Provider Addresses for CARLA RENEE RIVERA (DPT)

  • 1650 Cochrane Circle

    Fort Carson MEDDAC- Building #T7530 Physical Therapy

    Fort Carson, CO 80913

    Phone: (719) 526-7048

    Fax: (719) 526-7072

    Type: Location

  • 659 S SALISBURY BLVD STE 1B

    SALISBURY, MD 218015458

    Phone: (410) 831-3226

    Fax: (410) 677-0883

    Type: Mailing

  • 1029 KAPAHULU AVE

    STE 401

    HONOLULU, HI 968161332

    Phone: (410) 831-3226

    Fax: (410) 677-0883

    Type: Location

  • P.O. BOX 10327

    HONOLULU, HI 968160327

    Phone: (808) 739-1977

    Fax: (808) 739-1979

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180323000022IPhysical Therapist In Private PracticeMDTBD
I20190821002085IPhysical Therapist In Private PracticeVATBD
I20250908000715IPhysical Therapist In Private PracticeDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes12731$0
97530Therapy procedure using functional activities9830$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes6620$0
97164Re-evaluation for physical therapy, typically 20 minutes1512$0
View full utilization report →

Insurance plans in this area (ZIP 80913)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416244322View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeMD
Occupational Therapist In Private PracticeMD
Physical Therapist In Private PracticeMD
Occupational Therapist In Private PracticeMD
Occupational Therapist In Private PracticeMD
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeMD
-SC
Physical Therapist In Private PracticeMD

Reviews

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Frequently asked questions

How is CARLA RENEE RIVERA (DPT) identified in CMS data?
CMS-hosted NPPES data lists CARLA RENEE RIVERA (DPT) with NPI 1053547893.
Can I rely on CARLA RENEE RIVERA (DPT) being an active provider?
As of the registry snapshot, CARLA RENEE RIVERA (DPT) is marked active.
What is CARLA RENEE RIVERA (DPT) best known for clinically?
Directory data describes CARLA RENEE RIVERA (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is CARLA RENEE RIVERA (DPT) based?
CARLA RENEE RIVERA (DPT) is tied to Fort Carson, Colorado in the data we show; additional addresses may exist on the full record.
Is the information about CARLA RENEE RIVERA (DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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