Organization Active NPI

Root to Rise Therapy LLC

  • Physical Therapist
  • La Grande, OR
National Provider Identifier
1184306359
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ROOT TO RISE THERAPY LLC
Practice address
212 Fir St
La Grande, OR 97850-2627
Phone
(541) 240-8042
Fax
(541) 507-6094
NPI assigned
Aug 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Danielle Barrett, PTNPI 1619471380
Title
Physical Therapist
Phone
(215) 900-0216

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

212 Fir St
La Grande, OR 97850-2627

Mailing address

606 F Ave
La Grande, OR 97850-1226
Phone (215) 900-0216

Other practice location 1

1118 Adams Ave
LA Grande, OR 97850-2606
Phone (541) 240-8042

Other practice location 2

606 F Ave
LA Grande, OR 97850-1226
Phone (215) 900-0216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230908002015 OR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3072977057 Receives reassigned benefits from 1 practitioner
Practice locations: La Grande, OR

National Provider Directory

National Provider Directory

Locations

1118 Adams Ave
La Grande, OR 97850
Phone (541) 240-8042

212 Fir St
La Grande, OR 97850
Phone (541) 240-8042

Practitioners & affiliated clinicians

Practitioners 1

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": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1184306359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 F AVE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978501226",
            "telephone_number": "215-900-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 FIR ST",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978502627",
            "telephone_number": "541-240-8042",
            "fax_number": "541-507-6094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1118 Adams Ave",
            "address_purpose": "LOCATION",
            "city": "LA Grande",
            "state": "OR",
            "postal_code": "978502606",
            "country_code": "US",
            "telephone_number": "541-240-8042",
            "fax_number": "541-507-6094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 F Ave",
            "address_purpose": "LOCATION",
            "city": "LA Grande",
            "state": "OR",
            "postal_code": "978501226",
            "country_code": "US",
            "telephone_number": "215-900-0216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROOT TO RISE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "PHYSICAL  THERAPIST",
        "authorized_official_telephone_number": "215-900-0216",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grande, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.