Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rise Orthopedic and Sports Physical Therapy LLC

Organization Orthopedic Physical Therapist · NPI 1366953549

Rise Orthopedic and Sports Physical Therapy LLC is an Orthopedic Physical Therapist in Surprise, Arizona. Licensed in Arizona. Registered with an NPI since 2017.

Licensed in
AZ
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12515 W Bell Rd Ste 103
Surprise, AZ 85378-3801
Phone: (623) 234-4171
Fax: (623) 234-4173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 5576 (AZ)

Record details

NPI number1366953549
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Jagodzinski — Owner · (623) 234-4171
NPI enumeratedOctober 16, 2017
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023
Mailing address12515 W Bell Rd Suite 103, Surprise, AZ 85378-3801

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