Rising Star Therapy Specialist, Lcc - Speech-Language Pathologist in Phoenix, AZ

Rising Star Therapy Specialist, Lcc is a Speech-language Pathologist based in Phoenix, Arizona. Rising Star Therapy Specialist, Lcc is licensed to practice in * (Not Available) (license number ) and their current practice location is 10613 N 23rd St, Phoenix, Arizona. It can be reached at their office (for appointments etc.) via phone at (602) 955-9332.

NPI number for Rising Star Therapy Specialist, Lcc is 1134125354 and their current mailing address is 10613 N 23rd St, Phoenix, Arizona. Rising Star Therapy Specialist, Lcc does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1134125354.

Contact Information

Rising Star Therapy Specialist, Lcc
10613 N 23rd St,
Phoenix, AZ 85028-3102
(602) 955-9332
(602) 531-6306

Map and Direction




Healthcare Provider's Profile

Full NameRising Star Therapy Specialist, Lcc
TypeFacility
SpecialitySpeech-language Pathologist
Location10613 N 23rd St, Phoenix, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1134125354
  • Provider Enumeration Date: 06/22/2005
  • Last Update Date: 08/22/2020

Medical Identifiers

Medical identifiers for Rising Star Therapy Specialist, Lcc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134125354NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary
225X00000XOccupational Therapist (* (Not Available))Primary
235Z00000XSpeech-language Pathologist (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rising Star Therapy Specialist, Lcc is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Rising Star Therapy Specialist, Lcc
10613 N 23rd St,
Phoenix, AZ 85028-3102

Ph: (602) 955-9332
Rising Star Therapy Specialist, Lcc
10613 N 23rd St,
Phoenix, AZ 85028-3102

Ph: (602) 955-9332

Reviews and Comments


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