Organization Active NPI

Thrive Parkinsons Fitness

  • Physical Therapy Clinic/Center
  • Florence, SC
National Provider Identifier
1235848102
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
THRIVE PARKINSONS FITNESS
Practice address
616 Chaucer Dr
Florence, SC 29505-3629
Phone
(854) 900-3513
NPI assigned
Nov 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Authorized official

Name
Leslie Wise, DPTNPI 1326243999
Title
Owner
Phone
(854) 900-3513

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
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

616 Chaucer Dr
Florence, SC 29505-3629

Mailing address

616 Chaucer Dr
Florence, SC 29505-3629
Phone (854) 900-3513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230210000607 SC Part B Supplier - Clinic/Group Practice 1557733094 Receives reassigned benefits from 2 practitioners
Practice locations: Greenville, SC
O20240813003249 NC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1557733094 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, NC

National Provider Directory

National Provider Directory

Locations

710 Lowndes Hill Rd
Greenville, SC 29607
Phone (854) 900-3513

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1235848102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 CHAUCER DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295053629",
            "telephone_number": "854-900-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 CHAUCER DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295053629",
            "telephone_number": "854-900-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE PARKINSONS FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "854-900-3513",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.