Provider Demographics
NPI:1275234163
Name:RISE ABOVE PEDIATRIC PHYSICAL THERAPY
Entity Type:Organization
Organization Name:RISE ABOVE PEDIATRIC PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETHANY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:BATCHELOR
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:256-285-9885
Mailing Address - Street 1:103 COUNTY ROAD 455
Mailing Address - Street 2:
Mailing Address - City:KILLEN
Mailing Address - State:AL
Mailing Address - Zip Code:35645-2925
Mailing Address - Country:US
Mailing Address - Phone:205-826-9906
Mailing Address - Fax:256-898-0622
Practice Address - Street 1:158 ANA DR STE C
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-1766
Practice Address - Country:US
Practice Address - Phone:256-285-9885
Practice Address - Fax:256-898-0622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-16
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty