NPIMap

Organization Active NPI

Rise and Shine Therapy Collective, LLC

  • Speech-Language Pathologist
  • Summit, MS
National Provider Identifier
1033818026
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
RISE AND SHINE THERAPY COLLECTIVE, LLC
Practice address
1044 Singleton Dr
Summit, MS 39666-8032
Phone
(601) 810-3705
NPI assigned
Feb 28, 2023
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Jordan Porter, MS,CCC-SLPNPI 1972883940
Title
Owner/Speech-Language Pathologist
Phone
(601) 810-3705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

1044 Singleton Dr
Summit, MS 39666-8032

Mailing address

1044 Singleton Dr
Summit, MS 39666-8032
Phone (601) 810-3705

National Provider Directory

National Provider Directory

Locations

1115 Parklane Dr
Ste 308
McComb, MS 39648
Phone (601) 810-3705

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1033818026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 SINGLETON DR",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396668032",
            "telephone_number": "601-810-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 SINGLETON DR",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396668032",
            "telephone_number": "601-810-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE AND SHINE THERAPY COLLECTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "601-810-3705",
        "authorized_official_credential": "MS,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.