Organization
RISE UP REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY D GOLD (OWNER)
(210) 724-0505
Entity
Organization
Contact information
Practice address
16400 BLANCO RD, SAN ANTONIO, TX 78232-1902
(210) 724-0505
Mailing address
16400 BLANCO RD, SAN ANTONIO, TX 78232-1902
(210) 724-0505
(210) 699-7995
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Enumeration date
07/11/2019
Last updated
07/10/2025
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