Provider Demographics
NPI:1871357053
Name:RISING STEPS THERAPY LLC
Entity type:Organization
Organization Name:RISING STEPS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:INALVYS
Authorized Official - Middle Name:
Authorized Official - Last Name:FONSECA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:786-223-1233
Mailing Address - Street 1:25371 SW 121ST CT
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-5916
Mailing Address - Country:US
Mailing Address - Phone:786-223-1233
Mailing Address - Fax:
Practice Address - Street 1:25371 SW 121ST CT
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-5916
Practice Address - Country:US
Practice Address - Phone:786-223-1233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center