| Organization Name: | RISE REHABILITATION, LLC |
| NPI Number: | 1013399534 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JASON ST CLAIR (MANAGING/MEMBER, PHYSICAL THERAPIST) |
| Mailing Address: | 623 Adluh St Mount Pleasant |
| State: | SC US |
| Postal Code: | 294644401 |
| Phone Number: | 8436979493 |
| Fax Number: | 8433887475 |
| NPI Enumeration Date: | 06/20/2015 |
| NPI Last Update Date: | 06/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 6210 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |