Rivers Bend Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT8553 Issued in OH

Legal business name

RIVERS BEND THERAPY LLC

Practice address

530 N Broadway St
Lebanon, OH 45036-1735

Phone

(513) 260-8966

Fax

(877) 430-7975

NPI assigned

Aug 4, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Gephart

Title

Owner

Phone

(513) 260-8966

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1447539705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N BROADWAY ST",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N BROADWAY ST",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361735",
            "telephone_number": "513-260-8966",
            "fax_number": "877-430-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS BEND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "GEPHART",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-260-8966",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT8553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.