Organization Active NPI

Arise Physical Therapy PLLC

  • Orthopedic Physical Therapist
  • White Plains, NY
National Provider Identifier
1356946727
Registry record updated Jun 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
ARISE PHYSICAL THERAPY PLLC
Practice address
136 W Post Rd
White Plains, NY 10606-2937
Phone
(914) 584-6564
NPI assigned
Dec 2, 2020
Last updated
Jun 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2022

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

Authorized official

Name
Justin Vaidyan, DPTNPI 1255898383
Title
Ceo/Physical Therapist
Phone
(914) 473-4044

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
Orthopedic Physical Therapist 2251X0800X NU Primary

Addresses

Primary practice location

136 W Post Rd
White Plains, NY 10606-2937

Mailing address

136 W Post Rd
White Plains, NY 10606-2937
Phone (914) 584-6564

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220621002429 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7618356759 Receives reassigned benefits from 1 practitioner
Practice locations: White Plains, NY

National Provider Directory

National Provider Directory

Locations

126 S Lexington Ave
White Plains, NY 10606

136 W Post Rd
White Plains, NY 10606
Phone (774) 277-2593

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654905600000",
    "number": "1356946727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 W POST RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106062937",
            "telephone_number": "914-584-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 W POST RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106062937",
            "telephone_number": "914-584-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARISE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A",
        "authorized_official_last_name": "VAIDYAN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CEO/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "914-473-4044",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2022; 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.