Uprise Physical Therapy and Performance

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

UPRISE PHYSICAL THERAPY AND PERFORMANCE

Practice address

7135 Mill Run Dr
Derwood, MD 20855-1208

Phone

(410) 491-4263

NPI assigned

Aug 7, 2023

Organization subpart

No

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

Authorized official

Name

Alexander Tan, DPTNPI 1710351028

Title

Chief Operating Officer

Phone

(410) 491-4263

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

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

• Alexander Tan

  • Physical Therapist
  • Derwood, MD
  • NPI 1710351028

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1952084014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7135 MILL RUN DR",
            "city": "DERWOOD",
            "state": "MD",
            "postal_code": "208551208",
            "telephone_number": "410-491-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7135 MILL RUN DR",
            "city": "DERWOOD",
            "state": "MD",
            "postal_code": "208551208",
            "telephone_number": "410-491-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPRISE PHYSICAL THERAPY AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "410-491-4263",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Truelove
• Jean-Pierre Tshamala
• James Twaddell
• Carmelita Ugarte
• Erica Umana
• Sabrina Valenzuela
• Heidi Paula Vanderwalde, LCPC
• Monica Vargas
• Carla Vasquez
• Keiry Viera-Gaitan

• Physical Therapist in Derwood, MD
• Providers in Derwood, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.