Rise & Restore Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RISE & RESTORE PHYSICAL THERAPY LLC

Practice address

141 La Costa Dr
Blackwood, NJ 08012-5542

Phone

(856) 344-3203

NPI assigned

Apr 22, 2025

Last updated

Apr 22, 2025By 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

Brian Konzelman

Title

Owner

Phone

(856) 340-8512

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Konzelmann, DPT

  • Physical Therapist
  • Medford, NJ
  • NPI 1184342941
  Medicare reassignment NPD

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1821885963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 LA COSTA DR",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080125542",
            "telephone_number": "856-344-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 LA COSTA DR",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080125542",
            "telephone_number": "856-344-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE & RESTORE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "KONZELMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-340-8512"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nahi Rai, LPC
• Recover Physical Therapy
• Redeem Home Care and Counseling Services LLC
• Rem New Jersey, Inc.
• Rem New Jersey, Inc.
• Sharlene J Rivera, RMA
• Natalie Genoveva Robiou
• Zakiah Rogers
• Juliet Rojas
• Gina Marie Romano, BCBA

• Physical Therapist in Blackwood, NJ
• Providers in Blackwood, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.