Riverside Elite Therapies, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

SA12968 Issued in FL

Legal business name

RIVERSIDE ELITE THERAPIES, LLC

Practice address

850 NW Federal Hwy Ste 110
Stuart, FL 34994-1019

Phone

(772) 245-4444

Fax

(772) 324-6559

NPI assigned

May 15, 2015

Organization subpart

No

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

Authorized official

Name

Deirdre Robinson

Title

Partner

Phone

(772) 245-4444

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1174901680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 NW FEDERAL HWY STE 110",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349941019",
            "telephone_number": "772-245-4444",
            "fax_number": "772-324-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 NW FEDERAL HWY STE 110",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349941019",
            "telephone_number": "772-245-4444",
            "fax_number": "772-324-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE ELITE THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "772-245-4444"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "SA12968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Rivera, LCSW
• Rebeka Ann Rivera, ARNP
• Roxanna Rivera
• Lanly Rivero
• Kelly Whitney Riveron
• Riverview Community Mental Health Center LLC
• Ariana Roach
• Matthew Roback
• Howard M Robbins, M.D.
• Jennifer Robbins

• Multi-Specialty Clinic/Center in Stuart, FL
• Providers in Stuart, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.