Organization Active NPI

Rise Up Recovery

  • Community/Behavioral Health Agency
  • Stuart, FL
National Provider Identifier
1518358126
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1943AD985101 Issued in FL
Legal business name
RISE UP RECOVERY
Practice address
2026 SE Ocean Blvd
Stuart, FL 34996-3304
Phone
(772) 678-3468
Fax
(782) 919-4273
NPI assigned
Feb 18, 2015
Last updated
Feb 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Authorized official

Name
Mr. Tyler Steven Glock
Title
Cheif Executive Officer
Phone
(201) 264-3767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1943AD985101 FL Primary

Addresses

Primary practice location

2026 SE Ocean Blvd
Stuart, FL 34996-3304

Mailing address

2026 SE Ocean Blvd
Stuart, FL 34996-3304
Phone (772) 678-3468

National Provider Directory

National Provider Directory
Tax ID family
Rise Up Recovery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1518358126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963304",
            "telephone_number": "772-678-3468",
            "fax_number": "782-919-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963304",
            "telephone_number": "772-678-3468",
            "fax_number": "782-919-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE UP RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "GLOCK",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "201-264-3767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "1943AD985101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.