Organization Active NPI

Thrive PT & Wellness LLC

  • Physical Therapist
  • Palm Coast, FL
National Provider Identifier
1275109464
Registry record updated May 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THRIVE PT & WELLNESS LLC
Practice address
80 Riverview BND S Unit 811
Palm Coast, FL 32137-6584
Phone
(386) 315-9455
NPI assigned
May 28, 2021
Last updated
May 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2021

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

Authorized official

Name
Dr. Kimberly Dos Santos, DPTNPI 1538706387
Title
Owner
Phone
(386) 315-9455

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 Therapist 225100000X Primary

Addresses

Primary practice location

80 Riverview BND S Unit 811
Palm Coast, FL 32137-6584

Mailing address

80 Riverview BND S Unit 811
Palm Coast, FL 32137-6584
Phone (386) 315-9455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210828000114 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8820493844 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Coast, 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": "1622160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622332800000",
    "number": "1275109464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 RIVERVIEW BND S UNIT 811",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321376584",
            "telephone_number": "386-315-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 RIVERVIEW BND S UNIT 811",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321376584",
            "telephone_number": "386-315-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE PT & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-30",
        "certification_date": "2021-05-30",
        "status": "A",
        "authorized_official_last_name": "DOS SANTOS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-315-9455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2021; 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.