Rise Rehabilitation and Fitness L.L.C.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

40QA01561700 Issued in NJ

Legal business name

RISE REHABILITATION AND FITNESS L.L.C.

Practice address

649 Leigh Ter
Township of Washington, NJ 07676-3915

Phone

(201) 310-4465

NPI assigned

Mar 16, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Gayed, PT, DPT, OCS

Title

Owner

Phone

(551) 233-9110

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1588105050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 LEIGH TER",
            "city": "TOWNSHIP OF WASHINGTON",
            "state": "NJ",
            "postal_code": "076763915",
            "telephone_number": "201-310-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 LEIGH TER",
            "city": "TOWNSHIP OF WASHINGTON",
            "state": "NJ",
            "postal_code": "076763915",
            "telephone_number": "201-310-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE REHABILITATION AND FITNESS L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "GAYED",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "551-233-9110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01561700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588105050",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jayshree Patel, RPH
• Komal Patel, D.M.D
• Noelle Marie Patire, LSW
• Gary M Phillips, M.D.
• Marissa Raskin
• Rite Aid of New Jersey Inc (Rite Aid Pharmacy 01360)
• Riteaid
• Maureen Ethel Rockey, PT
• Ed Ruzicka, PT
• Swati Jitendra Shah, OTR/L

• Orthopedic Physical Therapist in Township of Washington, NJ
• Providers in Township of Washington, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.