NPIMap

Organization Active NPI

River Restorative Therapies LLC

  • Rehabilitation Clinic/Center
  • Andover, MN
National Provider Identifier
1063786689
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
RIVER RESTORATIVE THERAPIES LLC
Practice address
14166 Quince St NW
Andover, MN 55304-4137
Phone
(763) 248-3358
NPI assigned
Feb 29, 2012
Last updated
Feb 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cynthia Jane Nordby, L.ACNPI 1003180639
Title
Acupuncturest
Phone
(763) 248-3358

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

14166 Quince St NW
Andover, MN 55304-4137

Mailing address

14166 Quince St NW
Andover, MN 55304-4137
Phone (763) 248-3358

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1063786689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14166 QUINCE ST NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553044137",
            "telephone_number": "763-248-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14166 QUINCE ST NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553044137",
            "telephone_number": "763-248-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER RESTORATIVE THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "NORDBY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "ACUPUNCTUREST",
        "authorized_official_telephone_number": "763-248-3358",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.