Organization Active NPI

Root to Rise Physical Therapy & Pelvic Health, LLC

  • Physical Therapy Clinic/Center
  • Portland, ME
National Provider Identifier
1174118541
Registry record updated Mar 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ROOT TO RISE PHYSICAL THERAPY & PELVIC HEALTH, LLC
Doing business as
Root To Rise Physical Therapy & Pelvic Health, LLC
Practice address
449 Forest Ave
Portland, ME 04101-2029
Phone
(207) 200-1626
NPI assigned
Mar 7, 2021
Last updated
Mar 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2021

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

Authorized official

Name
Dr. Jennifer Gelfand, PT, DPT, E-RYT
Title
Owner, Physical Therapist
Phone
(617) 997-8504

Specialties & licenses 1

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

Addresses

Primary practice location

449 Forest Ave
Portland, ME 04101-2029

Mailing address

32 Nutter Way
Scarborough, ME 04074-9336
Phone (617) 997-8504

Other names 2

  • Root To Rise Physical Therapy & Pelvic Health, LLC Doing business as
  • Root To Rise Physical Therapy Other name

National Provider Directory

National Provider Directory

Locations

449 Forest Ave
Portland, ME 04101
Phone (207) 329-4386

NPI Registry JSON

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

{
    "created_epoch": "1615075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615075200000",
    "number": "1174118541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 NUTTER WAY",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749336",
            "telephone_number": "617-997-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 FOREST AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012029",
            "telephone_number": "207-200-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT TO RISE PHYSICAL THERAPY & PELVIC HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-07",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-07",
        "status": "A",
        "authorized_official_last_name": "GELFAND",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "617-997-8504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, E-RYT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Root To Rise Physical Therapy & Pelvic Health, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Root To Rise Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2021; 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.