Organization Active NPI

Thrive Pediatric Therapy Services LLC

  • Occupational Therapy Assistant
  • Peoria, IL
National Provider Identifier
1104544410
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Legal business name
THRIVE PEDIATRIC THERAPY SERVICES LLC
Practice address
9000 N Industrial Rd
Peoria, IL 61615-1512
Phone
(309) 643-3910
NPI assigned
Aug 22, 2022
Last updated
Aug 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rosanna CainNPI 1881324424
Title
Occupational Therapy Assistant
Phone
(309) 643-3910

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)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 224Z00000X Primary

Addresses

Primary practice location

9000 N Industrial Rd
Peoria, IL 61615-1512

Mailing address

1201 E Sciota Ave
Peoria Heights, IL 61616-6349
Phone (309) 643-3910

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Cain_rosie09@yahoo.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1104544410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E SCIOTA AVE",
            "city": "PEORIA HEIGHTS",
            "state": "IL",
            "postal_code": "616166349",
            "telephone_number": "309-643-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 N INDUSTRIAL RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151512",
            "telephone_number": "309-643-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE PEDIATRIC THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "ROSANNA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPY ASSISTANT",
        "authorized_official_telephone_number": "309-643-3910"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cain_rosie09@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Confidential email",
            "address_1": "9000 N Industrial Rd",
            "city": "Peoria",
            "state": "IL",
            "country_code": "US",
            "postal_code": "616151512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.