Rivercrest Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RIVERCREST PHYSICAL THERAPY, INC.

Practice address

6276 River Crest Dr
Riverside, CA 92507-0783

Phone

(951) 413-0979

NPI assigned

Apr 30, 2010

Last updated

Apr 30, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Randolph Taylor

Title

Risk Manager

Phone

(949) 870-3617

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1871810762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20377 SW ACACIA ST STE 110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600781",
            "telephone_number": "949-870-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6276 RIVER CREST DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070783",
            "telephone_number": "951-413-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERCREST PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-30",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_title_or_position": "RISK MANAGER",
        "authorized_official_telephone_number": "949-870-3617"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tony Rivera, ATC
• Valeria Mireya Rivera
• Yvonna Rivera
• Lisa Rae Riverashumway, PT
• Rivercrest MRI, Inc.
• Ashley Lane Rivero, BS
• Riversiade County Dept. of Mental Health
• Riverside Acupuncture
• Riverside Addiction Specialists, Inc.
• Riverside Adhc Inc (Health and Wellness Center)

• Physical Therapy Clinic/Center in Riverside, CA
• Providers in Riverside, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.