1. Home
  2. Directory
  3. Maine
  4. Old Town
  5. General Practice
  6. NPI Profile

RIVERSEDGE WELLNESS
NPI 1407605124
General Practice in Old Town, ME

Active since May 15, 2024
227 MAIN ST, OLD TOWN, ME 04468(207) 827-5951 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Riversedge Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERSEDGE WELLNESS (NPI 1407605124) is a healthcare organization registered as a general practice in Old Town, Maine and active in the NPI registry since May 2024. The organization lists Tiffany Sanborn, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1407605124
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameRIVERSEDGE WELLNESS
Location Address227 MAIN STOld Town, ME 04468-1470
Mailing Address227 Main StOld Town, ME 04468-1470 · (207) 827-5951
Phone(207) 827-5951
Organization SubpartNo
Authorized OfficialTiffany SanbornOffice Manager · (207) 570-9307
Enumeration DateMay 15, 2024
NPPES CertifiedMay 15, 2024
✔ NPI 1407605124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

227 MAIN ST, Old Town, ME 04468
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NOONAN CHIROPRACTIC
Chiropractor
227 MAIN ST
OLD TOWN, ME 04468
Penobscot County (207) 827-5951
RIVERSEDGE CHIROPRACTIC WELLNESS CENTER LLC
Clinic/Center
227 MAIN ST
OLD TOWN, ME 04468
Penobscot County (207) 827-5951
DR. ANTONY KEITH ANGUS DC
Chiropractor
227 MAIN ST
OLD TOWN, ME 04468
Penobscot County
DR. KAYLEIGH LOUISE MERRILL DC
Chiropractor
227 MAIN ST
OLD TOWN, ME 04468
Penobscot County (207) 827-5951

Frequently Asked Questions

What is RIVERSEDGE WELLNESS's NPI number?

The NPI number assigned to this healthcare provider is 1407605124, enumerated as an "organization" on May 15, 2024.

Where is the provider located?

The provider is located at 227 MAIN ST OLD TOWN, ME 04468 and the phone number is (207) 827-5951.

What is the provider's specialty?

General Practice with taxonomy code 208D00000X.