Thrive Physiotherapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

THRIVE PHYSIOTHERAPY, LLC

Doing business as

Thrive Physio

Practice address

100 Elks Club Rd
Brevard, NC 28712-4842

Phone

(828) 333-7087

NPI assigned

Sep 29, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Teresa Blake Robertson Elder, PT, DPTNPI 1396371787

Title

Owner

Phone

(828) 333-7087

Specialties & licenses 1

Addresses

Other names 1

• Thrive Physio Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Teresa Blake Robertson Elder, PT, DPT

  • Orthopedic Physical Therapist
  • Brevard, NC
  • NPI 1396371787
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1447867890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 GRANDVIEW AVE",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287124727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ELKS CLUB RD",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287124842",
            "telephone_number": "828-333-7087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Grandview Ave",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287124727",
            "country_code": "US",
            "telephone_number": "828-333-7087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THRIVE PHYSIOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON ELDER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-333-7087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Physio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thrive Physio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phyllis Kay Taylor, CRNA
• Tara Tecce, LCMHC
• The Focus Group Optometric Associates, PA
• The Movement Physical Therapy and Wellness LLC
• The Oaks -Brevard, LLC
• Ashley Ann Toner, PTA
• Jill Tooley, M.ED.
• Tore'S Home, Inc.
• Tores Home Services, Inc
• Carl Bradley Torrence, F.N.P.

• Physical Therapy Clinic/Center in Brevard, NC
• Providers in Brevard, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.