Organization Active NPI

Abrajano Consulting, LLC

Doing business as Rise Pediatric Specialists

  • Pediatric Physical Therapist
  • Grapevine, TX
National Provider Identifier
1053094334
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
ABRAJANO CONSULTING, LLC
Doing business as
Rise Pediatric Specialists
Practice address
2646 Evinrude Dr
Grapevine, TX 76051-2512
Phone
(310) 619-4826
NPI assigned
Aug 11, 2023
Last updated
Nov 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Kelly Abrajano, PTNPI 1659505865
Title
Ceo & Owner
Phone
(310) 619-4826

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X NU Primary
Pediatric Occupational Therapist 225XP0200X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

2646 Evinrude Dr
Grapevine, TX 76051-2512

Mailing address

2646 Evinrude Dr
Grapevine, TX 76051-2512
Phone (310) 619-4826

Other names 1

  • Rise Pediatric Specialists Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1691712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1053094334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 EVINRUDE DR",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512512",
            "telephone_number": "310-619-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 EVINRUDE DR",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512512",
            "telephone_number": "310-619-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRAJANO CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "ABRAJANO",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CEO & OWNER",
        "authorized_official_telephone_number": "310-619-4826",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rise Pediatric Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.