NPIMap

Organization Active NPI

Rise Early Intervention Services LLC

  • Early Intervention Provider Agency
  • Mesa, AZ
National Provider Identifier
1669818035
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
RISE EARLY INTERVENTION SERVICES LLC
Practice address
4554 E Inverness Ave
Ste C3
Mesa, AZ 85206-4639
Phone
(480) 295-4925
Fax
(480) 497-4756
NPI assigned
May 13, 2013
Last updated
May 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Kristin Mancuso, PT DPT
Title
Chief Operating Officer
Phone
(480) 295-4958

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

4554 E Inverness Ave
Ste C3
Mesa, AZ 85206-4639

Mailing address

4554 E Inverness Ave
Ste C3
Mesa, AZ 85206-4639
Phone (480) 295-4925

Other practice location 1

409 E Oakland Ave
Oakland, FL 34787-3070
Phone (407) 904-1600

Other practice location 2

207 W Georgia Ave Ste 170
Nampa, ID 83686-3024
Phone (208) 467-1069

National Provider Directory

National Provider Directory

Locations

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

4554 E Inverness Ave
Ste C3
Mesa, AZ 85206
Phone (480) 295-4925

409 E Oakland Ave
Oakland, FL 34787
Phone (407) 399-6556

409 E Oakland Ave
Unit B
Oakland, FL 34787
Phone (407) 654-5455

Practitioners & affiliated clinicians

Practitioners 36

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 36

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1669818035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4554 E INVERNESS AVE",
            "address_2": "STE C3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064639",
            "telephone_number": "480-295-4925",
            "fax_number": "480-497-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4554 E INVERNESS AVE",
            "address_2": "STE C3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064639",
            "telephone_number": "480-295-4925",
            "fax_number": "480-497-4756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 E Oakland Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "FL",
            "postal_code": "347873070",
            "country_code": "US",
            "telephone_number": "407-904-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 W Georgia Ave Ste 170",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836863024",
            "country_code": "US",
            "telephone_number": "208-467-1069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RISE EARLY INTERVENTION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "MANCUSO",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "480-295-4958",
        "authorized_official_credential": "PT DPT"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "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 May 5, 2025; 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.