Active NPI
Rise Up Recovery
- Community/Behavioral Health Agency
- Stuart, FL
National Provider Identifier
1518358126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 1943AD985101
- 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, 2015
- 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
- Mr. Tyler Steven Glock
- Title
- Cheif Executive Officer
- Phone
- (201) 264-3767
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Recovery
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Stuart, FL
- NPI 1053790402
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.