Organization Active NPI

Rivertown Health & Wellness, P.a.

  • Chiropractor
  • Stillwater, MN
National Provider Identifier
1255520128
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5020 Issued in MN
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

Updated by the provider on Oct 17, 2007

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 5020 MN Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.