River Valley Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2223 Issued in TN

Legal business name

RIVER VALLEY PHYSICAL THERAPY

Practice address

77 E Lake St
Camden, TN 38320-2019

Phone

(731) 584-0942

Fax

(731) 548-0942

NPI assigned

Mar 2, 2011

Last updated

Mar 2, 2011By 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

Mr. Micheal Eugene Bogard, PT

Title

Owner

Phone

(731) 584-0942

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 3

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.

• Michael Eugene Bogard, PT

  • Physical Therapist
  • Camden, TN
  • NPI 1801968854
  Medicare reassignment
• Angela C Flores, PT

  • Physical Therapist
  • Charlotte, NC
  • NPI 1205846003

  TN

  Medicare reassignment
• Anne-Marie S Hollis, SLP

  • Speech-Language Pathologist
  • Camden, TN
  • NPI 1033789797
  NPD

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1891093738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 E LAKE ST",
            "city": "CAMDEN",
            "state": "TN",
            "postal_code": "383202019",
            "telephone_number": "731-584-0942",
            "fax_number": "731-548-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E LAKE ST",
            "city": "CAMDEN",
            "state": "TN",
            "postal_code": "383202019",
            "telephone_number": "731-584-0942",
            "fax_number": "731-548-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "BOGARD",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-584-0942",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TN",
            "license": "2223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Redemption Recovery Center, LLC (AppleGate Recovery - Camden)
• Lynn Redmond, NP
• Darla Reed
• Lana Richardson
• Michael Joe Ridley, PA
• Rachel Nicole Roberson, RN
• Tara Marie Roberts, FNP-C
• Roy L. Dedmon
• Emma W Scott, OD
• Poshia Slusher, FNP-BC

• Physical Therapy Clinic/Center in Camden, TN
• Providers in Camden, TN by specialty
• Physical Therapy Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.