Riverside Osteopathy LLC

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

Legal business name

RIVERSIDE OSTEOPATHY LLC

Practice address

40 Main St
Suite 131
Biddeford, ME 04005-5173

Phone

(207) 899-8130

Fax

(207) 558-8258

NPI assigned

May 11, 2016

Organization subpart

No

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

Authorized official

Name

Garrett B Edwards, DONPI 1134310618

Title

Owner

Phone

(207) 899-8130

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Garrett B Edwards, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Saco, ME
  • NPI 1134310618
  NPD (past) Authorized official

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1780030502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040720292",
            "telephone_number": "207-899-8130",
            "fax_number": "207-558-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MAIN ST",
            "address_2": "SUITE 131",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040055173",
            "telephone_number": "207-899-8130",
            "fax_number": "207-558-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE OSTEOPATHY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-899-8130",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Ware Rioux, ANP
• Rise for Wellness, LLC
• Rite Aid of Maine Inc
• Jennifer Julianna Ritz, PA
• Brandon John Rivard, PA-C
• Amy Riviere, DO
• Christopher S Rizzo, ATC, CSCS
• Alex E Roan, LCPC
• Emily Mitchell Roberson, LCSW
• Robert J. Bolduc, Optometrist, P.a.

• Neuromusculoskeletal Medicine & OMM Physician in Biddeford, ME
• Providers in Biddeford, ME by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.