Active NPI
Rivertown Health & Wellness, P.a.
- Chiropractor
- Stillwater, MN
National Provider Identifier
1255520128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5020
- Legal business name
- RIVERTOWN HEALTH & WELLNESS, P.A.
- Practice address
- 305 Greeley St S
Suite 208
Stillwater, MN 55082-7029 - Phone
- (651) 439-2712
- Fax
- (651) 439-2663
- NPI assigned
- Oct 17, 2007
- 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
- Dr. Travis Wayne Gerhart, D.C.
- Title
- President
- Phone
- (651) 439-2712
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5020 | MN | Primary |
| Chiropractor | 111N00000X | 4981 | MN |
Addresses
Primary practice location
305 Greeley St S
Suite 208
Stillwater, MN 55082-7029
Mailing address
305 Greeley St S
Suite 208
Stillwater, MN 55082-7029
Phone (651) 439-2712
National Provider Directory
National Provider DirectoryLocations
305 Greeley St S
Ste 208
Stillwater, MN 55082
Phone (651) 439-2712
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Woodbury, MN
- NPI 1699828210
-
- Chiropractor
- Stillwater, MN
- NPI 1588634604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192579200000",
"number": "1255520128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 GREELEY ST S",
"address_2": "SUITE 208",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550827029",
"telephone_number": "651-439-2712",
"fax_number": "651-439-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 GREELEY ST S",
"address_2": "SUITE 208",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550827029",
"telephone_number": "651-439-2712",
"fax_number": "651-439-2663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERTOWN HEALTH & WELLNESS, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-17",
"last_updated": "2007-10-17",
"status": "A",
"authorized_official_last_name": "GERHART",
"authorized_official_first_name": "TRAVIS",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "651-439-2712",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "5020",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "4981",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.