NPIMap

Organization Active NPI

Rise Pediatric Therapies Queen Creek

  • Behavior Analyst
  • Mesa, AZ
National Provider Identifier
1144095860
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
RISE PEDIATRIC THERAPIES QUEEN CREEK
Practice address
8743 E Pecos Rd Ste 110
Mesa, AZ 85212-9303
Phone
(480) 295-4925
NPI assigned
Nov 22, 2023
Last updated
Feb 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Ryan Cozzolino
Title
Coo
Phone
(480) 389-4516

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X NU
Pediatric Occupational Therapist 225XP0200X NU
Speech-Language Pathologist 235Z00000X NU
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

8743 E Pecos Rd Ste 110
Mesa, AZ 85212-9303

Mailing address

4554 E Inverness Ave
Mesa, AZ 85206-4639

National Provider Directory

National Provider Directory

Locations

4554 E Inverness Ave
Mesa, AZ 85206
Phone (480) 295-4925

8743 E Pecos Rd
Ste 110
Mesa, AZ 85212
Phone (480) 295-4925

Practitioners & affiliated clinicians

Practitioners 7

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": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1144095860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4554 E INVERNESS AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8743 E PECOS RD STE 110",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852129303",
            "telephone_number": "480-295-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE PEDIATRIC THERAPIES QUEEN CREEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "COZZOLINO",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "480-389-4516"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "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
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.