Organization Active NPI

Riverside Physical Therapy, LTD.

  • Rehabilitation Clinic/Center
  • Bristol, PA
National Provider Identifier
1417093634
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
RIVERSIDE PHYSICAL THERAPY, LTD.
Practice address
231 Mill St
Bristol, PA 19007-4808
Phone
(215) 781-6973
Fax
(215) 781-6974
NPI assigned
Jan 29, 2007
Last updated
Dec 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Joseph C Tomasetti, M.P.T.NPI 1609912856
Title
President
Phone
(215) 781-6973

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

231 Mill St
Bristol, PA 19007-4808

Mailing address

231 Mill St
P.O. Box 569
Bristol, PA 19007-4808
Phone (215) 781-6973

Other identifiers 2

IdentifierTypeStateIssuer
001339049OtherPABLUE SHIELD ID
2037936000OtherPAIBC HMO ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050418000137 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1658318027 Receives reassigned benefits from 1 practitioner
Practice locations: Bristol, PA

National Provider Directory

National Provider Directory

Locations

231 Mill St
Bristol, PA 19007
Phone (215) 781-6973

301 Wood St
Fl 3
Bristol, PA 19007
Phone (215) 781-6973

302 Mill St
Bristol, PA 19007
Phone (215) 781-6973

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1417093634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MILL ST",
            "address_2": "P.O. BOX 569",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190074808",
            "telephone_number": "215-781-6973",
            "fax_number": "215-781-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 MILL ST",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190074808",
            "telephone_number": "215-781-6973",
            "fax_number": "215-781-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PHYSICAL THERAPY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "TOMASETTI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-781-6973",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID",
            "identifier": "001339049",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC HMO  ID",
            "identifier": "2037936000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.