NPIMap

Organization Active NPI

Rise Pediatric Therapy Center LLC

  • Rehabilitation Clinic/Center
  • Stafford, TX
National Provider Identifier
1023644382
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
RISE PEDIATRIC THERAPY CENTER LLC
Practice address
12371 S Kirkwood Rd Ste a
Stafford, TX 77477-2836
Phone
(713) 773-5150
Fax
(713) 773-5250
NPI assigned
Mar 19, 2020
Last updated
Jun 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kaimyn K Urrutia
Title
Owner
Phone
(713) 773-5150

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

12371 S Kirkwood Rd Ste a
Stafford, TX 77477-2836

Mailing address

12371 S Kirkwood Rd Ste a
Stafford, TX 77477-2836
Phone (713) 773-5150

Other practice location 1

4818 E Sam Houston Pkwy N Ste A
Houston, TX 77015-3240
Phone (713) 773-5150

National Provider Directory

National Provider Directory
Tax ID family
Rise Pediatric Therapy Center LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4818 E Sam Houston Pkwy N
Ste A
Houston, TX 77015
Phone (713) 773-5150

12371 S Kirkwood Rd
Ste A
Stafford, TX 77477
Phone (713) 773-5150

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1023644382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12371 S KIRKWOOD RD STE A",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772836",
            "telephone_number": "713-773-5150",
            "fax_number": "713-773-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12371 S KIRKWOOD RD STE A",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772836",
            "telephone_number": "713-773-5150",
            "fax_number": "713-773-5250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4818 E Sam Houston Pkwy N Ste A",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770153240",
            "country_code": "US",
            "telephone_number": "713-773-5150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RISE PEDIATRIC THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "URRUTIA",
        "authorized_official_first_name": "KAIMYN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-773-5150"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.