Active NPI
Riverside Physical Therapy LLC
- Physical Therapist
- Proctorville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-1007
- Legal business name
- RIVERSIDE PHYSICAL THERAPY LLC
- Practice address
- 96 Township Road 369
Suite 104
Proctorville, OH 45669-9133 - Phone
- (740) 886-5555
- NPI assigned
- Oct 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Lambiotte, P.T.
- Title
- Clinic Director
- Phone
- (740) 886-5555
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-1007 | OH | Primary |
Addresses
Primary practice location
96 Township Road 369
Suite 104
Proctorville, OH 45669-9133
Mailing address
96 Township Road 369
Suite 104
Proctorville, OH 45669-9133
Phone (740) 886-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5839 County Road 107
Proctorville, OH 45669
Phone (740) 886-5555
96 Township Road 369
Ste 104
Proctorville, OH 45669
Phone (740) 886-5555
50 Township Road 1012
#B
South Point, OH 45680
Phone (740) 894-1424
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Proctorville, OH
- NPI 1184705519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191542400000",
"number": "1124116173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 TOWNSHIP ROAD 369",
"address_2": "SUITE 104",
"city": "PROCTORVILLE",
"state": "OH",
"postal_code": "456699133",
"telephone_number": "740-886-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 TOWNSHIP ROAD 369",
"address_2": "SUITE 104",
"city": "PROCTORVILLE",
"state": "OH",
"postal_code": "456699133",
"telephone_number": "740-886-5555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-11",
"last_updated": "2007-10-05",
"status": "A",
"authorized_official_last_name": "LAMBIOTTE",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "CLINIC DIRECTOR",
"authorized_official_telephone_number": "740-886-5555",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT-1007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Proctorville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.