Organization Active NPI

Rise Recovery and Performance Center, PLLC

  • Chiropractor
  • St Petersburg, FL
National Provider Identifier
1851170427
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RISE RECOVERY AND PERFORMANCE CENTER, PLLC
Practice address
3430 Fairfield Ave S Unit a
Saint Petersburg, FL 33711-1700
Phone
(610) 806-2055
NPI assigned
Sep 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Julia Saccucci, DCNPI 1982367868
Title
Owner
Phone
(610) 806-2055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3430 Fairfield Ave S Unit a
Saint Petersburg, FL 33711-1700

Mailing address

4000 Mason LN Apt 4112
Pittsburgh, PA 15205-5438
Phone (412) 605-7212

Other identifiers 1

IdentifierTypeStateIssuer
1508440538OtherPANPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1851170427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MASON LN APT 4112",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152055438",
            "telephone_number": "412-605-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 FAIRFIELD AVE S UNIT A",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337111700",
            "telephone_number": "610-806-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE RECOVERY AND PERFORMANCE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-24",
        "status": "A",
        "authorized_official_last_name": "SACCUCCI",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-806-2055",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508440538",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.