NPIMap

Organization Active NPI

Riverwalk Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Basking Ridge, NJ
National Provider Identifier
1750681201
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA01278900 Issued in NJ
Legal business name
RIVERWALK PHYSICAL THERAPY, LLC
Practice address
25 Mountainview Blvd Ste 207
Basking Ridge, NJ 07920-3453
Phone
(908) 758-1006
Fax
(908) 360-0511
NPI assigned
Nov 1, 2010
Last updated
May 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Authorized official

Name
Mr. Philip Salvatore Pesce, P.T.NPI 1275708943
Title
Physical Therapist
Phone
(908) 758-1006

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA01278900 NJ Primary
Acupuncturist 171100000X
Physical Therapist 225100000X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

25 Mountainview Blvd Ste 207
Basking Ridge, NJ 07920-3453

Mailing address

25 Mountainview Blvd Ste 207
Basking Ridge, NJ 07920-3453
Phone (908) 758-1006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110404000144 NJ Part B Supplier - Clinic/Group Practice 1557545308 Receives reassigned benefits from 14 practitioners
Practice locations: Basking Ridge, NJ

National Provider Directory

National Provider Directory

Locations

25 Mountainview Blvd
Ste 207
Basking Ridge, NJ 07920
Phone (908) 758-1006

665 Martinsville Rd
Basking Ridge, NJ 07920
Phone (908) 312-5353

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1750681201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MOUNTAINVIEW BLVD STE 207",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079203453",
            "telephone_number": "908-758-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MOUNTAINVIEW BLVD STE 207",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079203453",
            "telephone_number": "908-758-1006",
            "fax_number": "908-360-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERWALK PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "PESCE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "SALVATORE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "908-758-1006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01278900",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basking Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.