Organization Active NPI

Rise Rehabilitation and Sport Performance PLLC

  • Physical Therapy Clinic/Center
  • Denver, CO
National Provider Identifier
1124883392
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RISE REHABILITATION AND SPORT PERFORMANCE PLLC
Practice address
2101 S Platte River Dr Unit a
Denver, CO 80223-4015
Phone
(720) 248-4386
Fax
(844) 579-0090
NPI assigned
Feb 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Eli Edwards, DPTNPI 1053900662
Title
Owner
Phone
(503) 449-2139

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 Primary

Addresses

Primary practice location

2101 S Platte River Dr Unit a
Denver, CO 80223-4015

Mailing address

1776 S Lincoln St
Denver, CO 80210-3111

National Provider Directory

National Provider Directory

Locations

1550 W Evans Ave
Unit S
Denver, CO 80223
Phone (720) 515-2582

2101 S Platte River Dr
Unit A
Denver, CO 80223
Phone (720) 248-4386

Practitioners & affiliated clinicians

Practitioners 2

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": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1124883392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 S LINCOLN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S PLATTE RIVER DR UNIT A",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802234015",
            "telephone_number": "720-248-4386",
            "fax_number": "844-579-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE REHABILITATION AND SPORT PERFORMANCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-449-2139",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.