Riverside City Gym, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RIVERSIDE CITY GYM, INC.

Practice address

3485 University Ave
Riverside, CA 92501-3326

Phone

(951) 788-6115

Fax

(951) 788-6115

NPI assigned

May 2, 2012

Organization subpart

No

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

Authorized official

Name

Penny Wilson

Title

Manager

Phone

(951) 788-6115

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1629336235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 UNIVERSITY AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013326",
            "telephone_number": "951-788-6115",
            "fax_number": "951-788-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 UNIVERSITY AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013326",
            "telephone_number": "951-788-6115",
            "fax_number": "951-788-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE CITY GYM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "951-788-6115"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverside Care, Inc.
• Riverside Childrens Speech Services Inc
• Riverside Chiropractic Center Mak PC
• Riverside Chiropractic Center Mak PC
• Riverside City College
• Riverside Clinical Laboratory Inc
• Riverside Co. Dept. of Mental Health
• Riverside Co. Dept. of Mental Health
• Riverside Co. Dept. of Mental Health
• Riverside Community Health Foundation

• Physical Therapist in Riverside, CA
• Providers in Riverside, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.