NPIMap

Organization Active NPI

Rise Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Fayetteville, AR
National Provider Identifier
1851743009
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RISE PHYSICAL THERAPY, INC.
Practice address
2668 E Citizens Dr Ste 5
Fayetteville, AR 72703
Phone
(479) 442-7473
Fax
(844) 809-1417
NPI assigned
Jul 11, 2016
Last updated
Oct 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Tyler Green, DPTNPI 1962640805
Title
Owner
Phone
(479) 747-0001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

2668 E Citizens Dr Ste 5
Fayetteville, AR 72703

Mailing address

2668 E Citizens Dr Ste 5
Fayetteville, AR 72703-4796
Phone (479) 442-7473

Other practice location 1

1188 N Salem Rd Ste 1
Fayetteville, AR 72704-8807
Phone (479) 239-5432

Other practice location 2

5320 W Sunset Ave Ste 168
Springdale, AR 72762-4410
Phone (479) 364-6467

Other practice location 3

5104 S Pinnacle Hills Pkwy Ste 1C
Rogers, AR 72758-6076
Phone (479) 337-7345

Other practice location 4

2905 S Walton Blvd Ste 5
Bentonville, AR 72712-7848
Phone (479) 717-1102

Other names 1

  • Rise Physical Therapy, PA Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171026001543 AR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9133400203 Receives reassigned benefits from 37 practitioners
1 other NPI on this enrollment
Practice locations: Fayetteville, AR; Springdale, AR; Rogers, AR; Bentonville, AR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1188 N Salem Rd
Ste 1
Fayetteville, AR 72704
Phone (479) 442-7473

Practitioners & affiliated clinicians

Practitioners 55

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.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1851743009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2668 E CITIZENS DR STE 5",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034796",
            "telephone_number": "479-442-7473",
            "fax_number": "479-239-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2668 E CITIZENS DR STE 5",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72703",
            "telephone_number": "479-442-7473",
            "fax_number": "844-809-1417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1188 N Salem Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727048807",
            "country_code": "US",
            "telephone_number": "479-239-5432",
            "fax_number": "479-239-5444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5320 W Sunset Ave Ste 168",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727624410",
            "country_code": "US",
            "telephone_number": "479-364-6467",
            "fax_number": "479-239-5444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5104 S Pinnacle Hills Pkwy Ste 1C",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727586076",
            "country_code": "US",
            "telephone_number": "479-337-7345",
            "fax_number": "479-239-5444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2905 S Walton Blvd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727127848",
            "country_code": "US",
            "telephone_number": "479-717-1102",
            "fax_number": "479-239-5444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RISE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-747-0001",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rise Physical Therapy, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Rise Physical Therapy, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.