Organization
RISE EARLY INTERVENTION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN MANCUSO PT DPT (CHIEF OPERATING OFFICER)
(480) 295-4958
Entity
Organization
Contact information
Practice address
4554 E INVERNESS AVE, STE C3, MESA, AZ 85206-4639
(480) 295-4925
(480) 497-4756
Mailing address
4554 E INVERNESS AVE, STE C3, MESA, AZ 85206-4639
(480) 295-4925
(480) 497-4756
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
949156
—
AZ
Enumeration date
05/13/2013
Last updated
05/05/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us