Organization Active NPI

Rise Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Mount Pleasant, SC
National Provider Identifier
1013399534
Registry record updated Jun 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
6210 Issued in SC
Legal business name
RISE REHABILITATION, LLC
Practice address
623 Adluh St
Mount Pleasant, SC 29464-4401
Phone
(843) 697-9493
Fax
(843) 388-7475
NPI assigned
Jun 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2015

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

Authorized official

Name
Jason St Clair, PT, DPTNPI 1639438815
Title
Managing/Member, Physical Therapist
Phone
(843) 697-9403

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 6210 SC Primary

Addresses

Primary practice location

623 Adluh St
Mount Pleasant, SC 29464-4401

Mailing address

623 Adluh St
Mount Pleasant, SC 29464-4401
Phone (843) 697-9493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250513002444 SC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4880909654 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Pleasant, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434758400000",
    "number": "1013399534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 ADLUH ST",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644401",
            "telephone_number": "843-697-9493",
            "fax_number": "843-388-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 ADLUH ST",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644401",
            "telephone_number": "843-697-9493",
            "fax_number": "843-388-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-20",
        "last_updated": "2015-06-20",
        "status": "A",
        "authorized_official_last_name": "ST CLAIR",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MANAGING/MEMBER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "843-697-9403",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "SC",
            "license": "6210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2015; 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.