NPIMap

Organization Active NPI

Rivertown Chiropractic, LLC

  • Chiropractor
  • St Augustine, FL
National Provider Identifier
1639606007
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11946 Issued in FL
Legal business name
RIVERTOWN CHIROPRACTIC, LLC
Practice address
317 Vicki Towers Dr
St Augustine, FL 32092-1757
Phone
(904) 428-0766
NPI assigned
May 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Philip Gregory Rodger, DCNPI 1083037428
Title
Co-Owner/Chiropractor
Phone
(904) 428-0766

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 11946 FL Primary

Addresses

Primary practice location

317 Vicki Towers Dr
St Augustine, FL 32092-1757

Mailing address

317 Vicki Towers Dr
St Augustine, FL 32092-1757
Phone (904) 428-0766

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1639606007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 VICKI TOWERS DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320921757",
            "telephone_number": "904-428-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 VICKI TOWERS DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320921757",
            "telephone_number": "904-428-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERTOWN CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RODGER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "CO-OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "904-428-0766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "11946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.