River Rehab

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6034 Issued in TN

Legal business name

RIVER REHAB

Practice address

139 Fox Rd
Suite 111
Knoxville, TN 37922-3472

Phone

(865) 539-2606

Fax

(865) 539-2646

NPI assigned

Jun 23, 2006

Organization subpart

No

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

Authorized official

Name

Jon Cooper, P.T.NPI 1639107469

Title

Owner/Therapist

Phone

(865) 539-2606

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jon Cooper, P.T.

  • Physical Therapist
  • Knoxville, TN
  • NPI 1639107469
  NPD (past) Authorized official

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720014905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 FOX RD",
            "address_2": "SUITE 111",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223472",
            "telephone_number": "865-539-2606",
            "fax_number": "865-539-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 FOX RD",
            "address_2": "SUITE 111",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223472",
            "telephone_number": "865-539-2606",
            "fax_number": "865-539-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "865-539-2606",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT6034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3659122",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4082601",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven E Ritchie, M.D.
• Rebecca Fay Ritter, MS OTR
• Aaron L Rittgers, MD
• Jeannie B Rivas
• River Bluff Healthcare, Inc
• Selena Mariah Rivera-Dickason, MSSW
• Sophia Lorena Rivera-Trujillo
• Cheryl Rivera
• Jonnie Rivera
• Rachel Rivera, LSW

• Physical Therapist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.