Rise Up Physical Therapy and Occupational Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RISE UP PHYSICAL THERAPY AND OCCUPATIONAL THERAPY PLLC

Practice address

2375 Ocean Ave Apt 2F
Brooklyn, NY 11229-3560

Phone

(347) 352-2204

Fax

(929) 473-2327

NPI assigned

Nov 9, 2024

Organization subpart

No

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

Authorized official

Name

Peabro Cando, DPTNPI 1174000624

Title

Owner

Phone

(347) 352-2204

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 5

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

• Peabro Cando

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1174000624
  Medicare reassignment NPD Authorized official
• Kristina Anjali De la Bastide, MS OTR/L

  • Occupational Therapist
  • New York, NY
  • NPI 1558796219
  Medicare reassignment NPD
• Roxanne Ayag Diaz, PT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1487115481
  Medicare reassignment NPD
• Kinjal Patel, OTR/L

  • Occupational Therapist
  • Tallahassee, FL
  • NPI 1902530728

  NY

  Medicare reassignment NPD
• Mark Ravinsky

  • Occupational Therapist
  • Old Bridge, NJ
  • NPI 1780152793

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1731110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731801600000",
    "number": "1013731728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 KASTAL DR",
            "city": "RIDGE",
            "state": "NY",
            "postal_code": "119611932",
            "telephone_number": "347-352-2204",
            "fax_number": "929-473-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 OCEAN AVE APT 2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293560",
            "telephone_number": "347-352-2204",
            "fax_number": "929-473-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE UP PHYSICAL THERAPY AND OCCUPATIONAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-09",
        "last_updated": "2024-11-17",
        "certification_date": "2024-11-17",
        "status": "A",
        "authorized_official_last_name": "CANDO",
        "authorized_official_first_name": "PEABRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-352-2204",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rise Applied Behavior Analysis Ut LLC
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• Rise Up Home Care
• Rise Up Rehab Physical Therapy PLLC
• Rise With Rollins NP in Psychiatry Services PLLC
• Riseboro Homecare Inc
• Rishavena Home Health Care Agency Inc.
• Rishavena Social Adult Day Care

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2024; 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.