Organization Active NPI

River Rock Physical Therapy and Balance Center LLC

  • Physical Therapist
  • East Hampton, CT
National Provider Identifier
1790314904
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RIVER ROCK PHYSICAL THERAPY AND BALANCE CENTER LLC
Practice address
15 Carriage Dr
East Hampton, CT 06424-1878
Phone
(860) 365-5514
Fax
(860) 365-5147
NPI assigned
Apr 8, 2020
Last updated
Aug 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Angela St. Louis Risigo, PTNPI 1669551024
Title
Owner
Phone
(860) 365-5514

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
Physical Therapist 225100000X Primary

Addresses

Primary practice location

15 Carriage Dr
East Hampton, CT 06424-1878

Mailing address

PO Box 13
East Hampton, CT 06424-0013
Phone (860) 365-5514

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200910002256 CT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5092133801 Receives reassigned benefits from 1 practitioner
Practice locations: Colchester, CT

National Provider Directory

National Provider Directory

Locations

744 Middletown Rd
Colchester, CT 06415
Phone (860) 365-5514

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1790314904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13",
            "city": "EAST HAMPTON",
            "state": "CT",
            "postal_code": "064240013",
            "telephone_number": "860-365-5514",
            "fax_number": "860-365-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CARRIAGE DR",
            "city": "EAST HAMPTON",
            "state": "CT",
            "postal_code": "064241878",
            "telephone_number": "860-365-5514",
            "fax_number": "860-365-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER ROCK PHYSICAL THERAPY AND BALANCE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "RISIGO",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "ST. LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-365-5514",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hampton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.