Riverwalk Physical Therapy at Raritan LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RIVERWALK PHYSICAL THERAPY AT RARITAN LLC

Practice address

1130 Route 202 Ste E8
Raritan, NJ 08869-1444

Phone

(908) 758-1006

NPI assigned

May 19, 2020

Organization subpart

No

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

Authorized official

Name

Philip Pesce, PTNPI 1275708943

Title

Co-Owner

Phone

(908) 758-1006

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip Salvatore Pesce, MS.PT

  • Physical Therapist
  • Basking Ridge, NJ
  • NPI 1275708943
  Medicare reassignment Authorized official
• John Vincent Amodio, P.T.

  • Physical Therapist
  • Basking, NJ
  • NPI 1518035609
  Medicare reassignment
• David Kitchen

  • Physical Therapist
  • Basking Ridge, NJ
  • NPI 1659921484
  Medicare reassignment
• Laura W Koenig, PT, DPT

  • Physical Therapist
  • Princeton, NJ
  • NPI 1992298418
  Medicare reassignment
• Peter Woghiren, DPT

  • Physical Therapist
  • Basking Ridge, NJ
  • NPI 1154831287
  Medicare reassignment

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1215550744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 ROUTE 202 STE E7",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691444",
            "telephone_number": "908-758-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 ROUTE 202 STE E8",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691444",
            "telephone_number": "908-758-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERWALK PHYSICAL THERAPY AT RARITAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "PESCE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "908-758-1006",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Regnault
• Mary Richardson, NP
• Cathleen Riegler, MS, PT
• Lauren Risho, COTA/L
• River'S Edge SNF LLC
• Estelle Joanna Roberts, O.D.
• Rosenblatt Family Eyecare Associates, PA
• Rre Operating, LLC
• Zydrune Rudaviciute, DMD
• Nabil Abdulaziz Said, MD, MPH

• Physical Therapy Clinic/Center in Raritan, NJ
• Providers in Raritan, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.

Verify at the official NPI Registry.