Active NPIIndividual providerSole proprietor

Gustavo A Rivera David, DPT

Physical Therapist in Belleville, Illinois

NPI Number1962306092
Practice location
2346 Mascoutah Ave, Belleville, IL 62220-3499
Fax
—
Last updated
October 3, 2026

Gustavo Alejandro Rivera David is a Physical Therapist based in Belleville, IL. Gustavo Alejandro Rivera David practices in Belleville, IL and has the professional credentials of DPT. The NPI Number for Gustavo Alejandro Rivera David is 1962306092 and holds a License No. 070041217 (IL). The current practice location address for Gustavo Alejandro Rivera David is 2346 Mascoutah Ave, Belleville, IL 62220-3499 and can be reached out via phone at 618-277-6282.

Provider Profile Details

NPI Number
1962306092
Provider Name
Gustavo Alejandro Rivera David
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
2346 Mascoutah Ave, Belleville, IL 62220-3499
Phone Number
618-277-6282
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
October 3, 2026
Last Update Date
October 3, 2026
Certification Date
October 3, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2346 Mascoutah Ave
Belleville, IL 62220-3499
Zip
62220-3499
Phone Number
618-277-6282
Belleville, IL 62220Get directions →

Provider Business Mailing Address Details

Address
Po Box 2492
Coamo, PR 00769-4492
City
Coamo
State
PR
Zip
00769-4492
Phone Number
787-988-1761

License Information

License Number
070041217
License State
IL
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Gustavo A Rivera David, DPT?

The NPI number of Gustavo A Rivera David, DPT is 1962306092. It was assigned on October 3, 2026 and is currently active in the NPPES registry.

What is the specialty of Gustavo A Rivera David, DPT?

Gustavo A Rivera David, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in IL under license number 070041217.

Where does Gustavo A Rivera David, DPT practice?

The practice location is 2346 Mascoutah Ave, Belleville, IL 62220-3499. The office can be reached at 618-277-6282 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962306092 directly on the NPPES registry website.

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