Active NPI
Rise Above Physical Therapy LLC
- Physical Therapist
- Summerville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- RISE ABOVE PHYSICAL THERAPY LLC
- Practice address
- 1655 Cane Bay Blvd Ste B
Summerville, SC 29486-2397 - Phone
- (843) 719-7473
- Fax
- (843) 279-3251
- NPI assigned
- Apr 22, 2020
- Last updated
- Sep 11, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacy Rydbom, PTA
- Title
- Dir of Operations
- Phone
- (724) 413-0297
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
1655 Cane Bay Blvd Ste B
Summerville, SC 29486-2397
Mailing address
1655 Cane Bay Blvd Ste B
Summerville, SC 29486-2397
Phone (843) 719-7473
Other practice location 1
3530 Park Avenue Blvd Ste 104
Mount Pleasant, SC 29466-7366
Phone (843) 491-4529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
431 Saint James Ave
Unit L212
Goose Creek, SC 29445
3530 Park Avenue Blvd
Ste 104
Mount Pleasant, SC 29466
Phone (843) 491-4529
1655 Cane Bay Blvd
#B
Summerville, SC 29486
Phone (843) 719-7473
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Orthopedic Physical Therapist
- Summerville, SC
- NPI 1154324077
-
- Physical Therapy Assistant
- Summerville, SC
- NPI 1467917617
-
- Physical Therapist
- Summerville, SC
- NPI 1528872736
-
- Physical Therapist
- Summerville, SC
- NPI 1336093608
-
- Physical Therapist
- Summerville, SC
- NPI 1205912755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789084800000",
"number": "1366062127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1655 CANE BAY BLVD STE B",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294862397",
"telephone_number": "843-719-7473",
"fax_number": "843-279-3251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 CANE BAY BLVD STE B",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294862397",
"telephone_number": "843-719-7473",
"fax_number": "843-279-3251"
}
],
"practiceLocations": [
{
"address_1": "3530 Park Avenue Blvd Ste 104",
"address_purpose": "LOCATION",
"city": "Mount Pleasant",
"state": "SC",
"postal_code": "294667366",
"country_code": "US",
"telephone_number": "843-491-4529",
"fax_number": "843-279-3251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RISE ABOVE PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-22",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A",
"authorized_official_last_name": "RYDBOM",
"authorized_official_first_name": "STACY",
"authorized_official_title_or_position": "DIR OF OPERATIONS",
"authorized_official_telephone_number": "724-413-0297",
"authorized_official_credential": "PTA"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.