River City Rehabilitation

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Legal business name

RIVER CITY REHABILITATION

Practice address

1707 South Colorado Suite a
Greenville, MS 38703

Phone

(662) 335-8332

Fax

(662) 335-8852

NPI assigned

Jan 16, 2019

Organization subpart

No

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

Authorized official

Name

Deborah A. Domino, PTANPI 1831661842

Title

Pta

Phone

(662) 335-8332

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Deborah A Domino, APTA

  • Physical Therapy Assistant
  • Greenville, MS
  • NPI 1831661842
  Authorized official Same address or phone

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1902370661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 SOUTH COLORADO SUITE A",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "38703",
            "telephone_number": "662-335-8332",
            "fax_number": "662-335-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 SOUTH COLORADO SUITE A",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "38703",
            "telephone_number": "662-335-8332",
            "fax_number": "662-335-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "DOMINO",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "662-335-8332",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015486",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Rhodes, M.A.
• Lakeisha White Richardson, M.D.
• Barbara L Ricks, MD
• Ride Aid
• Mary Riley, CNP
• River City Rehabilitation LLC
• River Medical Healthcare LLC
• Robert L Curry IV, MD PA
• Robert L. Duncan, DMD, PA (Duncan Dental Clinic)
• Kristen Cassidy Roberts, FNP-C

• Physical Therapy Assistant in Greenville, MS
• Providers in Greenville, MS by specialty
• Physical Therapy Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.