NPIMap

Organization Active NPI

Rise Up Rehab Physical Therapy PLLC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1386253516
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RISE UP REHAB PHYSICAL THERAPY PLLC
Practice address
2375 Ocean Ave Apt 2F
Brooklyn, NY 11229-3560
Phone
(347) 352-2204
Fax
(929) 473-2327
NPI assigned
Jul 23, 2020
Last updated
Dec 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Peabro CandoNPI 1174000624
Title
Co-Owner
Phone
(347) 352-2204

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Occupational Therapist 225X00000X

Addresses

Primary practice location

2375 Ocean Ave Apt 2F
Brooklyn, NY 11229-3560

Mailing address

24 Kastal Dr
Ridge, NY 11961-1932
Phone (347) 352-2204

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210119001139 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9931512654 Receives reassigned benefits from 11 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1386253516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 KASTAL DR",
            "city": "RIDGE",
            "state": "NY",
            "postal_code": "119611932",
            "telephone_number": "347-352-2204",
            "fax_number": "929-473-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 OCEAN AVE APT 2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293560",
            "telephone_number": "347-352-2204",
            "fax_number": "929-473-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE UP REHAB PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "CANDO",
        "authorized_official_first_name": "PEABRO",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "347-352-2204"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.