NPIMap

Organization Active NPI

Rising Stars Therapy LLC

  • Pediatric Occupational Therapist
  • Baltimore, MD
National Provider Identifier
1831779925
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
RISING STARS THERAPY LLC
Practice address
6112 Stuart Ave
Baltimore, MD 21209-4022
Phone
(646) 937-0644
NPI assigned
Apr 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Authorized official

Name
Tsippora Federgrun, OT
Title
Occupational Therapist/Director
Phone
(646) 937-0644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

6112 Stuart Ave
Baltimore, MD 21209-4022

Mailing address

6112 Stuart Ave
Baltimore, MD 21209-4022
Phone (646) 937-0644

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1831779925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6112 STUART AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094022",
            "telephone_number": "646-937-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6112 STUART AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094022",
            "telephone_number": "646-937-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING STARS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "FEDERGRUN",
        "authorized_official_first_name": "TSIPPORA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/DIRECTOR",
        "authorized_official_telephone_number": "646-937-0644",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.