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Organization
RISE PEDIATRIC THERAPY CENTER LLC
Active
Organization
RISE PEDIATRIC THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE KINKADE (CEO)
(713) 995-9292
Entity
Organization
Contact information
Practice address
4818 E SAM HOUSTON PKWY N STE A, HOUSTON, TX 77015-3240
(713) 773-5150
Mailing address
12371 S KIRKWOOD RD STE A, STAFFORD, TX 77477-2836
(713) 773-5150
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413172401
—
TX
Enumeration date
06/10/2020
Last updated
03/23/2026
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