MEDICARE: KEEP RISING THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1053260489
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEEP RISING THERAPY LLC

Provider Business Mailing Address
First Line	:	4539 N 22ND ST STE 5115
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4639
Country	:	US
Telephone Number	:	480-256-8495
Fax Number	:

Provider Business Practice Location Address
First Line	:	4539 N 22ND ST STE 5115
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4639
Country	:	US
Telephone Number	:	480-256-8495
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	JESSICA GREENBERG
Credential	:
Telephone Number	:	480-256-8495

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

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