NPIMap

Organization Active NPI

Thrive Physical Therapy

  • Physical Therapist
  • Clovis, CA
National Provider Identifier
1346359023
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT15987 Issued in CA
Legal business name
THRIVE PHYSICAL THERAPY
Doing business as
Thrive Physical Therapy
Practice address
221 W Fir Ave
Ste #105
Clovis, CA 93611-0221
Phone
(559) 325-3444
Fax
(559) 325-7444
NPI assigned
Aug 29, 2006
Last updated
Jun 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Authorized official

Name
Michelle D. Blajos
Title
Front Office
Phone
(559) 325-3444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT15987 CA Primary

Addresses

Primary practice location

221 W Fir Ave
Ste #105
Clovis, CA 93611-0221

Mailing address

221 W Fir Ave
Ste #105
Clovis, CA 93611-0221
Phone (559) 325-3444

Other names 1

  • Thrive Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080320000195 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3375629041 Receives reassigned benefits from 5 practitioners
Practice locations: Clovis, CA

National Provider Directory

National Provider Directory

Locations

221 W Fir Ave
Ste 105
Clovis, CA 93611
Phone (559) 325-3411

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1346359023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W FIR AVE",
            "address_2": "STE #105",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936110221",
            "telephone_number": "559-325-3444",
            "fax_number": "559-325-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W FIR AVE",
            "address_2": "STE #105",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936110221",
            "telephone_number": "559-325-3444",
            "fax_number": "559-325-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "BLAJOS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "FRONT OFFICE",
        "authorized_official_telephone_number": "559-325-3444"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT15987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.