Rise Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040033 Issued in NY

Legal business name

RISE PHYSICAL THERAPY PC

Practice address

362 9TH St
Brooklyn, NY 11215-4673

Phone

(347) 634-4750

Fax

(347) 227-8846

NPI assigned

Oct 19, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Islam Abdelmohsen, DPT

Title

DPT/Ceo

Phone

(347) 634-4750

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sam Lee, DPT, MSPT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1619328853
  Medicare reassignment

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1780195511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154673",
            "telephone_number": "347-634-4750",
            "fax_number": "347-227-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154673",
            "telephone_number": "347-634-4750",
            "fax_number": "347-227-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "ABDELMOHSEN",
        "authorized_official_first_name": "ISLAM",
        "authorized_official_title_or_position": "DPT/CEO",
        "authorized_official_telephone_number": "347-634-4750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06254439",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rise Applied Behavior Analysis Co PLLC
• Rise Applied Behavior Analysis NE LLC
• Rise Applied Behavior Analysis NJ LLC
• Rise Applied Behavior Analysis Ut LLC
• Rise Counseling Services LCSW, PLLC
• Rise to Shine Applied Behavior Analysis PLLC
• Rise Up Home Care
• Rise Up Physical Therapy and Occupational Therapy PLLC
• Rise Up Rehab Physical Therapy PLLC
• Rise With Rollins NP in Psychiatry Services PLLC

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.