Rise Early Intervention Services LLC
Organization Active NPI Early Intervention Provider Agency · Mesa, AZ
NPI 1669818035 · NPPES record last updated May 5, 2025
Key facts
- NPI
- 1669818035
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Early Intervention Provider Agency 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
- Organization subpart
- No
Authorized official
- Name
- Kristin Mancuso, PT DPT
- Title
- Chief Operating Officer
- Phone
- (480) 295-4958
Practitioners 34
-
Michelle Anzalone, MA, CF-SLP
-
Bona Diamond, PT61359910
-
Kelsi Folding, OTR/L
-
Amy Friesen, MA,CCC-SLP
-
Sierra Ann Knight, BCBA
-
Gina Marie Borras, MPT
-
Kayla Brooke Cullen, OTR,L
-
Danielle Dunny, DPT
-
Amy Jensen, MS, CCC-SLP
-
Katherine Jenson, PT
-
Brooke Nicole Jones, MPT
-
Anne Kenison, CCC-SLP
-
Alexa Longoria, PT, DPT
-
Tatiana Marie Lopez, MOT, OTR/L
-
Anna Quan, OTR/L
-
Jessica Reinhardt, OTR/L
-
Abigail Rhodeman, PT, DPT
-
Tania May Stein, CCC-SLP
-
Shari Young, MS, SLP
National Provider Directory
Locations
4554 E Inverness Ave
Ste C3
Mesa, AZ 85206
Phone (480) 295-4925
409 E Oakland Ave
Oakland, FL 34787
Phone (407) 399-6556
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | |||
| Behavior Technician |
106S00000X | |||
| Pediatric Physical Therapist |
2251P0200X | |||
| Pediatric Occupational Therapist |
225XP0200X | |||
| Speech-Language Pathologist |
235Z00000X | |||
| Early Intervention Provider Agency | 252Y00000X | Yes |
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
207 W Georgia Ave Ste 170
Nampa, ID 83686-3024
Phone (208) 467-1069
Other practice location 2
409 E Oakland Ave
Oakland, FL 34787-3070
Phone (407) 904-1600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 949156 | Medicaid | AZ |
Other providers in Mesa, AZ
- Helen Janet Rindone
- Brianna Rios-Robles
- Yvonne Rios
- Mark V Ripperda
- Yulia Rirdan
- Rise Mental Health and Wellness LLC
- Rise Pediatric Therapies Queen Creek
- John Risi
- Rising Outreach and Recovery
- Rising Sun Psychiatry LLC
All providers in Mesa, AZ · Early Intervention Provider Agency in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.