Provider Demographics
NPI:1154908192
Name:ARISE PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:ARISE PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JOEY
Authorized Official - Middle Name:
Authorized Official - Last Name:TENUTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-321-7164
Mailing Address - Street 1:3920 N GREEN BAY RD STE 150
Mailing Address - Street 2:
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53404-1416
Mailing Address - Country:US
Mailing Address - Phone:262-321-7164
Mailing Address - Fax:262-314-6051
Practice Address - Street 1:3920 N GREEN BAY RD
Practice Address - Street 2:
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53404-1416
Practice Address - Country:US
Practice Address - Phone:262-321-7164
Practice Address - Fax:262-314-6051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-25
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty