Rise Kids Therapy and Wellness, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

RISE KIDS THERAPY AND WELLNESS, LLC

Practice address

710 Northeast Dr Ste 11
Davidson, NC 28036-7426

Phone

(704) 275-1245

NPI assigned

Sep 1, 2020

Organization subpart

No

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

Authorized official

Name

Abbey Wash, MOT, OTR/L

Title

Owner

Phone

(704) 275-1245

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1508470204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 NORTHEAST DR STE 11",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367426",
            "telephone_number": "704-275-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 NORTHEAST DR STE 11",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367426",
            "telephone_number": "704-275-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE KIDS THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "WASH",
        "authorized_official_first_name": "ABBEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-275-1245",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Dawn Restrepo, MSN, FNP-C
• Elizabeth Ann Ricciani, RN, BSN
• Michelle Carelock Rice, LCMHC
• Kristien M Richardson
• Anna Chatham Ripple, LPC, LCASA
• Rise Modern Dentistry
• John Martin Roberts, MD
• Patrick Allen Robinson, M.D.
• Julia Anthony Rose, MA, LPCA, MBCC
• Brooke Novia Ross

• Occupational Therapist in Davidson, NC
• Providers in Davidson, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.