RISE & RESTORE PHYSICAL THERAPY LLC
NPI 1821885963
Physical Therapist in Blackwood, NJ

Active since April 22, 2025
141 LA COSTA DR, BLACKWOOD, NJ 08012(856) 344-3203 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rise & Restore Physical Therapy Llc NPPES

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

RISE & RESTORE PHYSICAL THERAPY LLC (NPI 1821885963) is a healthcare organization registered as a physical therapist in Blackwood, New Jersey and active in the NPI registry since April 2025. The organization lists Brian Konzelman, Owner, as its authorized official.

NPPES Registry Identity

NPI1821885963
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameRISE & RESTORE PHYSICAL THERAPY LLC
Location Address141 LA COSTA DRBlackwood, NJ 08012-5542
Mailing Address141 La Costa DrBlackwood, NJ 08012-5542 · (856) 344-3203
Organization SubpartNo
Authorized OfficialBrian KonzelmanOwner · (856) 340-8512
Enumeration DateApril 22, 2025
NPPES CertifiedApril 22, 2025
✔ NPI 1821885963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
141 LA COSTA DR, Blackwood, NJ 08012

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rise & Restore Physical Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rise & Restore Physical Therapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1184342941
200 TUCKERTON RD STE 17
Medford, NJ 08055
(856) 396-2250
✔ Accepts Medicare12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 & Restore Physical Therapy LLC's NPI number?

The NPI number for Rise & Restore Physical Therapy LLC is 1821885963. It was assigned to this organization in the NPPES registry on April 22, 2025.

Where is Rise & Restore Physical Therapy LLC located?

Rise & Restore Physical Therapy LLC is located at 141 La Costa Dr, Blackwood, NJ 08012. The listed phone number is (856) 344-3203.

What is Rise & Restore Physical Therapy LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Rise & Restore Physical Therapy LLC enrolled in Medicare?

Yes. Rise & Restore Physical Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rise & Restore Physical Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Rise & Restore Physical Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rise & Restore Physical Therapy LLC was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.