Active NPI
Laura Risse
- Physical Therapist
- Coppell, TX
National Provider Identifier
1225776594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT38589
- Practice address
- 3100 Olympus Blvd Ste 500
Coppell, TX 75019-5473 - Phone
- (256) 452-6608
- NPI assigned
- May 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT38589 | FL | Primary |
Addresses
Primary practice location
3100 Olympus Blvd Ste 500
Coppell, TX 75019-5473
Mailing address
113 22ND St N Apt 401
Birmingham, AL 35203-4218
Phone (256) 452-6608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT38589 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neural Health PC | Current | Accepting new patients |
Locations
26 S Rio Grande St
Unit 2072
Salt Lake City, UT 84101
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Winter Garden, FL
- NPI 1598439085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653436800000",
"number": "1225776594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 22ND ST N APT 401",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352034218",
"telephone_number": "256-452-6608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 OLYMPUS BLVD STE 500",
"city": "COPPELL",
"state": "TX",
"postal_code": "750195473",
"telephone_number": "256-452-6608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISSE",
"first_name": "LAURA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-25",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT38589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.