Rise Pelvic Therapy & Wellness, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

RISE PELVIC THERAPY & WELLNESS, LLC

Practice address

1380 S Castle Dome Ave Ste 104
Yuma, AZ 85365-2024

Phone

(612) 963-2147

NPI assigned

Feb 17, 2020

Organization subpart

No

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

Authorized official

Name

Lauri Stumph, O.T.

Title

Owner

Phone

(928) 605-7070

Specialties & licenses 1

Addresses

Other names 1

• Occupational Therapy Pelvic Wellness LLC Former legal business name

Locations

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1780217802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 S RAINBOW AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853653535",
            "telephone_number": "612-963-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 S CASTLE DOME AVE STE 104",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853652024",
            "telephone_number": "612-963-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE PELVIC THERAPY & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "STUMPH",
        "authorized_official_first_name": "LAURI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-605-7070",
        "authorized_official_credential": "O.T."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Occupational Therapy Pelvic Wellness LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Occupational Therapist in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.