Rising Sun Physical Therapy & Wellness

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RISING SUN PHYSICAL THERAPY & WELLNESS

Practice address

20301 SW Acacia St Ste 150
Newport Beach, CA 92660-1741

Phone

(949) 274-9551

Fax

(949) 264-8219

NPI assigned

Aug 7, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Natsuko Watanabe, DPTNPI 1750615050

Title

Ceo

Phone

(949) 274-9551

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Natsuko Watanabe, DPT

  • Physical Therapist
  • Newport Beach, CA
  • NPI 1750615050
  Medicare reassignment NPD Authorized official
• David H Vu, DPT, PT

  • Physical Therapist
  • Huntington Beach, CA
  • NPI 1003694563
  Medicare reassignment NPD
• Michael J Russo, PT

  • Orthopedic Physical Therapist
  • Newport Beach, CA
  • NPI 1265737563
  Medicare reassignment
• Brandon Ngo, PTA

  • Physical Therapy Assistant
  • Newport Beach, CA
  • NPI 1609484906
  NPD
• Carol Le Blanc

  • Chiropractor
  • Costa Mesa, CA
  • NPI 1245304997
  NPD (past)

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1881003440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20301 SW ACACIA ST STE 150",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601741",
            "telephone_number": "949-274-9551",
            "fax_number": "949-264-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20301 SW ACACIA ST STE 150",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601741",
            "telephone_number": "949-274-9551",
            "fax_number": "949-264-8219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3822 Campus Dr",
            "address_2": "Suite 132",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926602627",
            "country_code": "US",
            "telephone_number": "949-274-9551",
            "fax_number": "949-264-8219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RISING SUN PHYSICAL THERAPY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "WATANABE",
        "authorized_official_first_name": "NATSUKO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-274-9551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Rios, LMFT
• Isaac M Rios
• Ripdeep Mangat MD, a Professional Corporation
• Ris RX
• Risa Groux Nutrition
• Rising Tide Mental Wellness a Marriage & Family Therapy Corporat
• Lane Ritchie, PHD
• Barbara E. Ritter, RN CNOR RNFA
• Melissa Ream Ritter, D.C.
• Lisa Louise Riva, NURSE PRACTITIONER

• Physical Therapy Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.