Provider Demographics
NPI:1154785491
Name:UPRISING PHYSICAL THERAPY
Entity type:Organization
Organization Name:UPRISING PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROP
Authorized Official - Prefix:
Authorized Official - First Name:KARL
Authorized Official - Middle Name:A
Authorized Official - Last Name:FLORIE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:724-544-7270
Mailing Address - Street 1:PO BOX 212
Mailing Address - Street 2:
Mailing Address - City:KOPPEL
Mailing Address - State:PA
Mailing Address - Zip Code:16136-0212
Mailing Address - Country:US
Mailing Address - Phone:724-544-7270
Mailing Address - Fax:724-241-3716
Practice Address - Street 1:3410 4TH AVE STE B
Practice Address - Street 2:
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010-3574
Practice Address - Country:US
Practice Address - Phone:724-544-7270
Practice Address - Fax:724-241-3716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-13
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty