NPIMap

Organization Active NPI

Rise Up Rehab, LLC

  • Rehabilitation Clinic/Center
  • San Antonio, TX
National Provider Identifier
1962054858
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
RISE UP REHAB, LLC
Practice address
16400 Blanco Rd
San Antonio, TX 78232-1902
Phone
(210) 724-0505
NPI assigned
Jul 11, 2019
Last updated
Jul 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Tiffany D GoldNPI 1306040340
Title
Owner
Phone
(210) 724-0505

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Rehabilitation Clinic/Center 261QR0400X Primary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

Addresses

Primary practice location

16400 Blanco Rd
San Antonio, TX 78232-1902

Mailing address

16400 Blanco Rd
San Antonio, TX 78232-1902
Phone (210) 724-0505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190827001464 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3274861497 3 other NPIs on this enrollment
Practice locations: Converse, TX; San Antonio, TX; Shavano Park, TX
O20250610000953 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3274861497 Receives reassigned benefits from 49 practitioners
Practice locations: San Antonio, TX; Converse, TX; Shavano Park, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962054858. Details of each certification follow.

  • CCN 676754 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 676754

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
RISE UP REHAB LLC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Jan 8, 2020
Last certification
Nov 8, 2024
Ownership / control type
Proprietary
Facility address
16400 Blanco Rd
San Antonio, TX 78232

Other NPIs on the same Medicare enrollment 3

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

  • Rise Up Rehab, LLC

    dba Rise Up Rehab, LLC - Helotes

    • Comprehensive Outpatient Rehabilitation Facility (CORF)
    • Helotes, TX
    • NPI 1346897709

    O20190827001464

    Same enrollment
  • Rise Up Rehab, LLC

    dba Rise Up Rehab, LLC- Danny Keye

    • Comprehensive Outpatient Rehabilitation Facility (CORF)
    • San Antonio, TX
    • NPI 1417504879

    O20190827001464

    Same enrollment
  • Rise Up Rehab, LLC

    dba Rise Up Rehab, LLC - Castroville

    • Comprehensive Outpatient Rehabilitation Facility (CORF)
    • Castroville, TX
    • NPI 1447807615

    O20190827001464

    Same enrollment

National Provider Directory

National Provider Directory

Locations

16400 Blanco Rd
San Antonio, TX 78232
Phone (210) 408-1212

24165 Ih 10 W
Ste 217213
San Antonio, TX 78257

Practitioners & affiliated clinicians

Practitioners 124

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 124

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1962054858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16400 BLANCO RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321902",
            "telephone_number": "210-724-0505",
            "fax_number": "210-699-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16400 BLANCO RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321902",
            "telephone_number": "210-724-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE UP REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-724-0505"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.