=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912812488
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RISE ORTHOTICS AND PROSTHETICS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/18/2026
-----------------------------------------------------
Last Update Date | 08/18/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5 DOCTORS PARK UNIT E1
-----------------------------------------------------
City | ASHEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28801-4517
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-712-1311
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5 DOCTORS PARK UNIT E1
-----------------------------------------------------
City | ASHEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28801-4517
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-712-1311
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CPO
-----------------------------------------------------
Name | AMIRA MOUAD
-----------------------------------------------------
Credential | CPO
-----------------------------------------------------
Telephone | 828-712-1311
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 335E00000X
-----------------------------------------------------
Taxonomy Name | Prosthetic/Orthotic Supplier
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------