River Rehab

LBN: River Rehab
River Rehab is an health care organization with primary practice located at 139 Fox Rd Suite 111, Knoxville TN 37922-3472. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. River Rehab can be contacted via phone (865) 539-2606, or through Cooper, Jon via phone (865) 539-2606.

Contact Information

Primary practice address
139 Fox Rd Suite 111 Knoxville TN 37922-3472
Phone: (865) 539-2606
Fax: (865) 539-2646
Website:
Map and Directions
Authorized official contact:
Name: Cooper, Jon Physical Therapist (PT)
Phone: (865) 539-2606

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT6034 Tennessee

Profile Details

NPI number 1720014905
LBN Legal business name River Rehab
DBA Doing business as
Authorized official Cooper, Jon Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720014905 NPPES
Tennessee MEDICAID 3659122
Tennessee Other 4082601

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