Active NPI
Thrive Pediatric Therapy, LLC
- Occupational Therapist
- Jacksonville, FL
National Provider Identifier
1295564490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- THRIVE PEDIATRIC THERAPY, LLC
- Practice address
- 3965 San Jose Blvd
Jacksonville, FL 32207-6060 - Phone
- (904) 613-1171
- NPI assigned
- Jul 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Cable, OT/L
- Title
- Owner, Managing Director
- Phone
- (904) 315-7373
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary | ||
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | |||
| Pediatric Occupational Therapist | 225XP0200X |
Addresses
Primary practice location
3965 San Jose Blvd
Jacksonville, FL 32207-6060
Mailing address
3965 San Jose Blvd
Jacksonville, FL 32207-6060
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Jacksonville, FL
- NPI 1669955084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735776000000",
"number": "1295564490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3965 SAN JOSE BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322076060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3965 SAN JOSE BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322076060",
"telephone_number": "904-613-1171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIVE PEDIATRIC THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-29",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A",
"authorized_official_last_name": "CABLE",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "OWNER, MANAGING DIRECTOR",
"authorized_official_telephone_number": "904-315-7373",
"authorized_official_credential": "OT/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225XF0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Feeding, Eating & Swallowing",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.