Organization Active NPI

Rise Above - Speech Pathology and Physical Therapy Services, PLLC

  • Physical Therapist
  • Rochester, NY
National Provider Identifier
1003788001
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RISE ABOVE - SPEECH PATHOLOGY AND PHYSICAL THERAPY SERVICES, PLLC
Practice address
103 Canal Landing Blvd Ste 6
Rochester, NY 14626-5108
Phone
(607) 423-0641
NPI assigned
Sep 19, 2025
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Shelby Withiam, PT, DPTNPI 1932653326
Title
Physical Therapist
Phone
(607) 423-0641

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

103 Canal Landing Blvd Ste 6
Rochester, NY 14626-5108

Mailing address

1900 Wind Willow Way Apt 12
Rochester, NY 14624-6076

National Provider Directory

National Provider Directory

Locations

103 Canal Landing Blvd
Ste 6
Rochester, NY 14626
Phone (585) 910-2292

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1003788001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 WIND WILLOW WAY APT 12",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146246076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CANAL LANDING BLVD STE 6",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146265108",
            "telephone_number": "607-423-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE ABOVE - SPEECH PATHOLOGY AND PHYSICAL THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "WITHIAM",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "607-423-0641",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.