Arise Physical Therapy Inc
Organization Active NPI Physical Therapist · Racine, WI
NPI 1154908192 · NPPES record last updated Feb 4, 2022
Key facts
- NPI
- 1154908192
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ARISE PHYSICAL THERAPY INC
- Practice address
- 3920 N Green Bay Rd
Racine, WI 53404-1416 - Phone
- (262) 321-7164
- Fax
- (262) 314-6051
- NPI assigned
- Mar 25, 2021
- Organization subpart
- No
Authorized official
- Name
- Joey Tenuta
- Title
- Co-Founder Managing Partner
- Phone
- (262) 321-7164
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210514001973 | WI | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 9739598103 |
Receives reassigned benefits from 1 practitioner Practice locations: Racine, WI |
National Provider Directory
Locations
3920 N Green Bay Rd
Ste 150
Caledonia, WI 53404
Phone (262) 321-7164
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
3920 N Green Bay Rd
Racine, WI 53404-1416
Mailing address
3920 N Green Bay Rd Ste 150
Racine, WI 53404-1416
Phone (262) 321-7164
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All providers in Racine, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.