Provider Demographics
NPI:1053962464
Name:SUNRISE THERAPY LLC
Entity type:Organization
Organization Name:SUNRISE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ELIANY
Authorized Official - Middle Name:D
Authorized Official - Last Name:IRIZARRY FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC
Authorized Official - Phone:727-481-9985
Mailing Address - Street 1:2288 DREW ST STE C
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-3307
Mailing Address - Country:US
Mailing Address - Phone:727-481-9985
Mailing Address - Fax:727-250-5791
Practice Address - Street 1:2288 DREW ST STE C
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-3307
Practice Address - Country:US
Practice Address - Phone:787-414-9553
Practice Address - Fax:727-436-3127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-26
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center