Active NPI
Thrive Spinal Care LLC
- Chiropractor
- Cooper City, FL
National Provider Identifier
1013393792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 10779
- Legal business name
- THRIVE SPINAL CARE LLC
- Practice address
- 5560 S Flamingo Rd
Cooper City, FL 33330-2700 - Phone
- (954) 533-1977
- Fax
- (954) 533-1539
- NPI assigned
- Aug 5, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jason Granger, D.C.
- Title
- Owner
- Phone
- (954) 533-1977
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 10779 | FL | Primary |
Addresses
Primary practice location
5560 S Flamingo Rd
Cooper City, FL 33330-2700
Mailing address
5560 S Flamingo Rd
Cooper City, FL 33330-2700
Phone (954) 533-1977
Other names 1
- Thrive Spinal Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150902002397 | FL | Part B Supplier - Clinic/Group Practice | 4789990961 |
Receives reassigned benefits from 1 practitioner Practice locations: Cooper City, FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Cooper City, FL
- NPI 1902142334
-
- Chiropractor
- Cooper City, FL
- NPI 1063609337
-
- Chiropractor
- Mount Pleasant, SC
- NPI 1699329110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438732800000",
"number": "1013393792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5560 S FLAMINGO RD",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "333302700",
"telephone_number": "954-533-1977",
"fax_number": "954-533-1539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5560 S FLAMINGO RD",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "333302700",
"telephone_number": "954-533-1977",
"fax_number": "954-533-1539"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIVE SPINAL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-05",
"last_updated": "2015-08-05",
"status": "A",
"authorized_official_last_name": "GRANGER",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-533-1977",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 10779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Thrive Spinal Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cooper City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.