Rise Up Rehab, LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

RISE UP REHAB, LLC

Doing business as

Rise Up Rehab, LLC - Castroville

Practice address

1687 Old Hwy 90
Castroville, TX 78009

Phone

(210) 724-0505

NPI assigned

Aug 22, 2019

Last updated

Aug 22, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiffany Dixon Gold, OT

Title

Administrator

Phone

(210) 724-0505

Specialties & licenses 1

Addresses

Other names 1

• Rise Up Rehab, LLC - Castroville Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Rise Up Rehab, LLC

  dba Rise Up Rehab, LLC - Helotes

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Helotes, TX
  • NPI 1346897709

  O20190827001464

  Same enrollment
• Rise Up Rehab, LLC

  dba Rise Up Rehab, LLC- Danny Keye

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • San Antonio, TX
  • NPI 1417504879

  O20190827001464

  Same enrollment
• Rise Up Rehab, LLC

  • Rehabilitation Clinic/Center
  • San Antonio, TX
  • NPI 1962054858

  O20190827001464

  Same enrollment

Locations

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1447807615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16400 BLANCO RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321902",
            "telephone_number": "210-724-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 OLD HWY 90",
            "city": "CASTROVILLE",
            "state": "TX",
            "postal_code": "78009",
            "telephone_number": "210-724-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE UP REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "DIXON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-724-0505",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rise Up Rehab, LLC - Castroville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bobby W Pittman, M.D.
• Cindy Pittman, MS, LPC
• Joseph Rangel, DO
• Denise Richter, CCC--SLP
• Misty Deon Rios, FNP
• Gaspar Alejandro Rosario Jr., PA
• Caitlin Marie Rothe, FNP-BC
• Sakdc Davita Dialysis Partners LP (Castroville Dialysis)
• Crystal Marie Salinas
• San Antonio Kidney Disease Center Physicians Group, P.L.L.C.

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Castroville, TX
• Providers in Castroville, TX by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.