Riverside Rehab, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC006859L Issued in PA

Legal business name

RIVERSIDE REHAB, INC.

Doing business as

Riverside Chiropractic & Physical Rehabilitation

Practice address

200 E Girard Ave
Phila, PA 19125-3917

Phone

(215) 291-1578

Fax

(215) 291-4262

NPI assigned

Sep 17, 2007

Organization subpart

No

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

Authorized official

Name

David Bodof, D.C.

Title

Owner

Phone

(215) 291-1578

Specialties & licenses 1

Addresses

Other names 1

• Riverside Chiropractic & Physical Rehabilitation Doing business as

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189987200000",
    "number": "1881880540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E GIRARD AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191253917",
            "telephone_number": "215-291-1578",
            "fax_number": "215-291-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E GIRARD AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191253917",
            "telephone_number": "215-291-1578",
            "fax_number": "215-291-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2007-09-17",
        "status": "A",
        "authorized_official_last_name": "BODOF",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-291-1578",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006859L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Chiropractic & Physical Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra Ripkin, LCSW
• Marianne Theresa Ritchie, MD
• Rite Aid
• Riteaid
• Maribel Marcelina Rivera, BAAS,MPA
• Indira Rizal, MS
• Caroline S Robboy, MSW, CAS, LCSW
• Robert M Weinstock MD&Simon M Berger Et Al PTR
• Robert M. Weinstock MDPC
• Robert S Kravitz DDS Assoc

• Chiropractor in Phila, PA
• Providers in Phila, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; 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.