Organization Active NPI

Thrive in Mindbodyspirit, LLC

  • Acupuncturist
  • Fort Lauderdale, FL
National Provider Identifier
1225284565
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
THRIVE IN MINDBODYSPIRIT, LLC
Practice address
1120 S Federal Hwy Ste 1
Fort Lauderdale, FL 33316-1231
Phone
(954) 719-6118
NPI assigned
Aug 18, 2008
Last updated
Jul 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Authorized official

Name
William Gutierrez
Title
Cfo/ Admistrator
Phone
(954) 713-6118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

1120 S Federal Hwy Ste 1
Fort Lauderdale, FL 33316-1231

Mailing address

1120 S Federal Hwy Ste 1
Fort Lauderdale, FL 33316-1231
Phone (954) 713-6118

National Provider Directory

National Provider Directory
Tax ID family
Thrive in Mindbodyspirit LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1120 S Federal Hwy
Ste 1
Ft Lauderdale, FL 33316
Phone (954) 713-6118

Practitioners & affiliated clinicians

Practitioners 2

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": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1225284565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S FEDERAL HWY STE 1",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161231",
            "telephone_number": "954-713-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S FEDERAL HWY STE 1",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161231",
            "telephone_number": "954-719-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE IN MINDBODYSPIRIT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CFO/ ADMISTRATOR",
        "authorized_official_telephone_number": "954-713-6118"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.