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RISE ORTHOPEDIC AND SPORTS PHYSICAL THERAPY LLC
NPI 1366953549
Physical Therapist - Orthopedic in Surprise, AZ

Active since October 16, 2017
12515 W BELL RD SUITE 103, SURPRISE, AZ 85378(623) 234-4171(623) 234-4173 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2020, Oct 16, 2017 (2 updates tracked since 2017).

About Rise Orthopedic And Sports Physical Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RISE ORTHOPEDIC AND SPORTS PHYSICAL THERAPY LLC (NPI 1366953549) is a healthcare organization registered as an orthopedic in Surprise, Arizona and active in the NPI registry since October 2017. The organization lists Mark Andrew Jagodzinski, Owner, as its authorized official.

NPPES Registry Identity

NPI1366953549
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameRISE ORTHOPEDIC AND SPORTS PHYSICAL THERAPY LLC
Location Address12515 W BELL RD SUITE 103Surprise, AZ 85378-3801
Mailing Address12515 W Bell Rd Suite 103Surprise, AZ 85378-3801 · (623) 234-4171 · Fax (623) 234-4173
Phone(623) 234-4171
Fax(623) 234-4173
Organization SubpartNo
Authorized OfficialMark Andrew JagodzinskiOwner · (623) 234-4171
Enumeration DateOctober 16, 2017
Last NPPES UpdateJune 26, 20232 updates tracked since enumeration
NPPES CertifiedJune 26, 2023
✔ NPI 1366953549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in AZ · 5576
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
12515 W BELL RD SUITE 103, Surprise, AZ 85378
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Other Identifiers 1

Medicaid738692AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rise Orthopedic And Sports Physical Therapy LLC's NPI number?

The NPI number for Rise Orthopedic And Sports Physical Therapy LLC is 1366953549. It was assigned to this organization in the NPPES registry on October 16, 2017.

Where is Rise Orthopedic And Sports Physical Therapy LLC located?

Rise Orthopedic And Sports Physical Therapy LLC is located at 12515 W Bell Rd Suite 103, Surprise, AZ 85378. The listed phone number is (623) 234-4171.

What is Rise Orthopedic And Sports Physical Therapy LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Rise Orthopedic And Sports Physical Therapy LLC was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.