Active NPI
Rise Rehabilitation, LLC
- Physical Therapy Clinic/Center
- Mount Pleasant, SC
National Provider Identifier
1013399534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 6210
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason St Clair, PT, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Goose Creek, SC
- NPI 1639438815
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.