# RISE HOME THERAPY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Brian Homan, PT LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639426141
- **Authorized official:** MR. BRIAN KEITH HOMAN SR. PT (MANAGER/OWNER)
- **Authorized official phone:** (856) 345-4830

## Contact information

- **Practice address:** 82 PELICAN PLACE, WEST DEPTFORD, NJ 08086
- **Practice address phone:** (856) 345-4830
- **Practice address fax:** (856) 853-0769
- **Mailing address:** 82 PELICAN PLACE, WEST DEPTFORD, NJ 08086
- **Mailing address phone:** (856) 345-4830
- **Mailing address fax:** (856) 853-0769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251G0304X | Geriatric Physical Therapist | 40QA00274100 | NJ | Yes |

## Other

- **Enumeration date:** 08/14/2012
- **Last updated:** 02/26/2018