Provider Demographics
NPI:1043956246
Name:RISE THERAPY, LLC
Entity Type:Organization
Organization Name:RISE THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELI
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-766-9460
Mailing Address - Street 1:510 S CHEROKEE AVE
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74003-3625
Mailing Address - Country:US
Mailing Address - Phone:918-766-9460
Mailing Address - Fax:
Practice Address - Street 1:510 S CHEROKEE AVE
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74003-3625
Practice Address - Country:US
Practice Address - Phone:918-695-5004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-10
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty