| Organization Name: | RISE PHYSICAL THERAPY INC |
| NPI Number: | 1083038764 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NAVID HANNANVASH (OWNER) |
| Mailing Address: | 380 Stevens Ave Suite 314 Solana Beach |
| State: | CA US |
| Postal Code: | 920752063 |
| Phone Number: | 8587555200 |
| Fax Number: | 8587555201 |
| NPI Enumeration Date: | 02/14/2014 |
| NPI Last Update Date: | 02/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251G0304X |
| License Number: | 38257 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Geriatrics |
| Taxonomy Definition: | |