NPIMap

Organization Active NPI

Thrive Occupational Therapy, Health & Wellness PLLC

  • Occupational Therapist
  • Harlan, IA
National Provider Identifier
1154951952
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
THRIVE OCCUPATIONAL THERAPY, HEALTH & WELLNESS PLLC
Practice address
1205 7TH St
Harlan, IA 51537-1756
Phone
(316) 284-1583
NPI assigned
Jan 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Authorized official

Name
Erica Dawn Gronau StevensNPI 1174071955
Title
Owner/Occupational Therapist
Phone
(316) 284-1583

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

1205 7TH St
Harlan, IA 51537-1756

Mailing address

3012 Country Club Pkwy
Harlan, IA 51537-2409
Phone (316) 284-1583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200330001966 IA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4880023662 Receives reassigned benefits from 11 practitioners
Practice locations: Harlan, IA; Carroll, IA
O20221118001515 NE Part B Supplier - Clinic/Group Practice 4880023662 Receives reassigned benefits from 8 practitioners
Practice locations: Gretna, NE; Omaha, NE

National Provider Directory

National Provider Directory

Locations

524 Market St
Ste 104
Harlan, IA 51537

1205 7th St
Harlan, IA 51537
Phone (316) 284-1583

11532 Willow Park Dr
Ste 3
Gretna, NE 68028
Phone (712) 560-0240

11213 Davenport St
Ste 100
Omaha, NE 68154
Phone (316) 284-1583

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1154951952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 COUNTRY CLUB PKWY",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515372409",
            "telephone_number": "316-284-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 7TH ST",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515371756",
            "telephone_number": "316-284-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE OCCUPATIONAL THERAPY, HEALTH & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "DAWN GRONAU",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "316-284-1583"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlan, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.

Verify at the official NPI Registry.