Provider Demographics

NPI:	1063277689
Name:	SUNRISE THERAPY SERVICES, INC
Entity type:	Organization
Organization Name:	SUNRISE THERAPY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:	PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:	DANA
Authorized Official - Middle Name:	RENEE
Authorized Official - Last Name:	HUTCHINGS
Authorized Official - Suffix:
Authorized Official - Credentials:	MS OTR/L
Authorized Official - Phone:	602-485-4444
Mailing Address - Street 1:	4045 E UNION HILLS DR STE 110
Mailing Address - Street 2:
Mailing Address - City:	PHOENIX
Mailing Address - State:	AZ
Mailing Address - Zip Code:	85050-3389
Mailing Address - Country:	US
Mailing Address - Phone:	602-485-4444
Mailing Address - Fax:	480-451-7780
Practice Address - Street 1:	4045 E UNION HILLS DR STE 110
Practice Address - Street 2:
Practice Address - City:	PHOENIX
Practice Address - State:	AZ
Practice Address - Zip Code:	85050-3389
Practice Address - Country:	US
Practice Address - Phone:	602-485-4444
Practice Address - Fax:	480-451-7780
EIN:	<UNAVAIL>
Is Organization Subpart?:	Yes
Parent Organization LBN:	SUNRISE THERAPY SERVICES, INC
Parent Organization TIN:	<UNAVAIL>
Enumeration Date:	2024-02-14
Last Update Date:	2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	261QH0100X	Ambulatory Health Care Facilities	Clinic/Center	Health Service
No	225100000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist		Group - Multi-Specialty
No	208100000X	Allopathic & Osteopathic Physicians	Physical Medicine & Rehabilitation		Group - Multi-Specialty
No	224Z00000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapy Assistant		Group - Multi-Specialty
No	224ZF0002X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapy Assistant	Feeding, Eating & Swallowing	Group - Multi-Specialty
No	225200000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapy Assistant		Group - Multi-Specialty
No	225X00000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist		Group - Multi-Specialty
No	225XP0019X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Physical Rehabilitation	Group - Multi-Specialty
No	2251P0200X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Pediatrics	Group - Multi-Specialty
No	225XP0200X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Pediatrics	Group - Multi-Specialty
No	2355S0801X	Speech, Language and Hearing Service Providers	Specialist/Technologist	Speech-Language Assistant	Group - Multi-Specialty
No	235Z00000X	Speech, Language and Hearing Service Providers	Speech-Language Pathologist		Group - Multi-Specialty
No	261Q00000X	Ambulatory Health Care Facilities	Clinic/Center
No	261QP2000X	Ambulatory Health Care Facilities	Clinic/Center	Physical Therapy
No	261QR0400X	Ambulatory Health Care Facilities	Clinic/Center	Rehabilitation