Rise Physical Therapy Prime Wellness Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RISE PHYSICAL THERAPY PRIME WELLNESS INC

Practice address

5550 Carmel Mountain Rd Ste 208
San Diego, CA 92130-4861

Phone

(503) 453-4841

NPI assigned

Jun 7, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Navid Hannanvash, PT, DPTNPI 1811271240

Title

Ceo/Owner/President

Phone

(503) 453-4841

Specialties & licenses 1

Addresses

Other names 1

• RISE Prime Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Navid Hannanvash, D.P.T.

  • Physical Therapist
  • Solana Beach, CA
  • NPI 1811271240
  NPD Authorized official

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1598294142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 CARMEL MOUNTAIN RD STE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921304861",
            "telephone_number": "503-453-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 CARMEL MOUNTAIN RD STE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921304861",
            "telephone_number": "503-453-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE PHYSICAL THERAPY PRIME WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HANNANVASH",
        "authorized_official_first_name": "NAVID",
        "authorized_official_title_or_position": "CEO/OWNER/PRESIDENT",
        "authorized_official_telephone_number": "503-453-4841",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RISE Prime Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheryl Ripp, NP
• Julia Ris
• Lireima Risco
• Rise Above: Marriage and Family Therapy
• Rise Care, LLC
• Rise Up House San Diego LLC
• Rishi Jindal MD Inc
• Patricia Risi, COTA/L
• Dena Joy Riso
• Joseph A Risser, MD

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.