Organization Active NPI

Thrive Generations Therapy Group, LLC

  • Occupational Therapist
  • Ponte Vedra, FL
National Provider Identifier
1205706314
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
THRIVE GENERATIONS THERAPY GROUP, LLC
Practice address
192 Somerville Dr
Ponte Vedra, FL 32081-1108
Phone
(516) 547-1203
NPI assigned
Nov 5, 2025
Last updated
Nov 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Samantha Gottlieb, OTR/LNPI 1598488413
Title
Owner/OT
Phone
(516) 547-1203

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary
Physical Therapy Clinic/Center 261QP2000X NU

Addresses

Primary practice location

192 Somerville Dr
Ponte Vedra, FL 32081-1108

Mailing address

192 Somerville Dr
Ponte Vedra, FL 32081-1108
Phone (516) 547-1203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260211001933 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7113406950 Receives reassigned benefits from 1 practitioner
Practice locations: Ponte Vedra, FL

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": "1762300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1205706314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 SOMERVILLE DR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320811108",
            "telephone_number": "516-547-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 SOMERVILLE DR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320811108",
            "telephone_number": "516-547-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE GENERATIONS THERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER/OT",
        "authorized_official_telephone_number": "516-547-1203",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.