Healthcare Provider Details

I. General information

NPI: 1801733134
Provider Name (Legal Business Name): UPRIGHT PT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9480 RIVERSIDE STATION BLVD
SECAUCUS NJ
07094-4410
US

IV. Provider business mailing address

9480 RIVERSIDE STATION BLVD
SECAUCUS NJ
07094-4410
US

V. Phone/Fax

Practice location:
  • Phone: 551-225-9010
  • Fax:
Mailing address:
  • Phone: 551-225-9010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. PRIYANKKUMAR K KOTHIYA
Title or Position: MANAGING MEMBER
Credential:
Phone: 551-225-9010