NPIMap

Organization Active NPI

Rise Therapy & Wellness LLC

  • Occupational Therapist
  • Richland, MI
National Provider Identifier
1669086559
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
RISE THERAPY & WELLNESS LLC
Practice address
8599 N 32ND St Ste 104
Richland, MI 49083-8570
Phone
(269) 203-7394
NPI assigned
Sep 8, 2020
Last updated
Sep 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Authorized official

Name
Stephany Baliff
Title
Owner
Phone
(269) 359-3710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

8599 N 32ND St Ste 104
Richland, MI 49083-8570

Mailing address

8599 N 32ND St Ste 104
Richland, MI 49083-8570
Phone (269) 203-7394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201020001148 MI Part B Supplier - Clinic/Group Practice 9436579075 Receives reassigned benefits from 5 practitioners
Practice locations: Richland, MI

National Provider Directory

National Provider Directory

Locations

8599 N 32nd St
Ste 104
Richland, MI 49083
Phone (269) 203-7394

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1669086559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8599 N 32ND ST STE 104",
            "city": "RICHLAND",
            "state": "MI",
            "postal_code": "490838570",
            "telephone_number": "269-203-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8599 N 32ND ST STE 104",
            "city": "RICHLAND",
            "state": "MI",
            "postal_code": "490838570",
            "telephone_number": "269-203-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE THERAPY & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "BALIFF",
        "authorized_official_first_name": "STEPHANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-359-3710"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.