Riverside Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

670 Issued in NE

Legal business name

RIVERSIDE PHYSICAL THERAPY, LLC

Practice address

47581 815TH Rd
Ord, NE 68862-5362

Phone

(308) 728-4070

Fax

(866) 411-4048

NPI assigned

Dec 3, 2012

Last updated

Aug 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Christy Peterson, PTNPI 1578840484

Title

Physical Therapist

Phone

(308) 727-4070

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Christy Sue Peterson, PT

  • Physical Therapist
  • Ord, NE
  • NPI 1578840484
  Authorized official Same address or phone

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1174868145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47581 815TH RD",
            "city": "ORD",
            "state": "NE",
            "postal_code": "688625362",
            "telephone_number": "308-728-4070",
            "fax_number": "866-411-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47581 815TH RD",
            "city": "ORD",
            "state": "NE",
            "postal_code": "688625362",
            "telephone_number": "308-728-4070",
            "fax_number": "866-411-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "308-727-4070",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NE",
            "license": "670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1578840484",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy A. Puckett, LMHP, CPC
• Sheila Ramsey, S.L.P
• Nicholas Reed, PA-C
• Robert James Reilly, PA-C
• Connie Marie Rieck
• Shelby Rowe
• Rebecca M Royle, DPT
• Sandhills Center for Services Inc
• SCH Dist City of Ord (Ord Public Schools)
• Shelley Lynn Schmidt

• Physical Therapy Clinic/Center in Ord, NE
• Providers in Ord, NE by specialty
• Physical Therapy Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.