Organization Active NPI

Riverfront Physical Medicine LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Wilmington, DE
National Provider Identifier
1740798784
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
RIVERFRONT PHYSICAL MEDICINE LLC
Practice address
131 S West St
Wilmington, DE 19801-5014
Phone
(302) 777-9355
NPI assigned
Jan 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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

Authorized official

Name
Gina M Graves
Title
Administrator
Phone
(302) 540-9187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

131 S West St
Wilmington, DE 19801-5014

Mailing address

PO Box 3817
Wilmington, DE 19807-0817
Phone (302) 540-9187

National Provider Directory

National Provider Directory

Locations

131 S West St
Wilmington, DE 19801
Phone (302) 777-9355

NPI Registry JSON

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515628800000",
    "number": "1740798784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3817",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198070817",
            "telephone_number": "302-540-9187",
            "fax_number": "302-777-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 S WEST ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198015014",
            "telephone_number": "302-777-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERFRONT PHYSICAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "302-540-9187"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.