Healthcare Provider Details

I. General information

NPI: 1043140312
Provider Name (Legal Business Name): RISE PELVIC HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 LOWER CENTER ST STE 9
CLINTON NJ
08809-1423
US

IV. Provider business mailing address

6 N STAR DR
ANNANDALE NJ
08801-2016
US

V. Phone/Fax

Practice location:
  • Phone: 908-328-2023
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATRINA THOENE
Title or Position: OWNER
Credential: DPT
Phone: 908-328-2023