Organization Active NPI

Rise Therapy Services PLLC

  • Physical Therapist
  • Bowie, TX
National Provider Identifier
1396493375
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RISE THERAPY SERVICES PLLC
Practice address
800 W Wise St
Bowie, TX 76230-4742
Phone
(940) 242-4400
Fax
(940) 241-6152
NPI assigned
Mar 17, 2022
Last updated
Jun 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Morgan NedleyNPI 1114529633
Title
Owner
Phone
(940) 366-0657

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 Therapist 225100000X NU Primary

Addresses

Primary practice location

800 W Wise St
Bowie, TX 76230-4742

Mailing address

800 W Wise St
Bowie, TX 76230-4742
Phone (940) 242-4400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220714000091 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3375924913 Receives reassigned benefits from 3 practitioners
Practice locations: Bowie, TX

National Provider Directory

National Provider Directory

Locations

800 W Wise St
Bowie, TX 76230
Phone (940) 242-4400

800 W Wise St
#C
Bowie, TX 76230
Phone (940) 242-4400

Practitioners & affiliated clinicians

Practitioners 5

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": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1396493375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W WISE ST",
            "city": "BOWIE",
            "state": "TX",
            "postal_code": "762304742",
            "telephone_number": "940-242-4400",
            "fax_number": "940-241-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W WISE ST",
            "city": "BOWIE",
            "state": "TX",
            "postal_code": "762304742",
            "telephone_number": "940-242-4400",
            "fax_number": "940-241-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "NEDLEY",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-366-0657"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.