Healthcare Provider Details

I. General information

NPI: 1760275846
Provider Name (Legal Business Name): ARISE THERAPY GROUP, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2025
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 6TH ST STE 301A-B
CASTLE ROCK CO
80104-1715
US

IV. Provider business mailing address

202 6TH ST STE 301A-B
CASTLE ROCK CO
80104-1715
US

V. Phone/Fax

Practice location:
  • Phone: 303-720-6174
  • Fax:
Mailing address:
  • Phone: 303-720-6174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DAINARA PRAST
Title or Position: OWNER/DOCTOR OF OCCUPATIONAL THERAP
Credential: DOT
Phone: 303-720-6174