NPIMap

Organization Active NPI

Thrive Spine and Sports Rehab LLC

  • Acupuncturist
  • Spring Lake, NJ
National Provider Identifier
1467965368
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
THRIVE SPINE AND SPORTS REHAB LLC
Practice address
600 Warren Ave
Spring Lake, NJ 07762-2039
Phone
(848) 469-0411
NPI assigned
Nov 14, 2017
Last updated
Nov 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Authorized official

Name
Arthur J AdamczykNPI 1477983641
Title
Practice Owner
Phone
(848) 469-0411

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X NJ
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X NJ Primary

Addresses

Primary practice location

600 Warren Ave
Spring Lake, NJ 07762-2039

Mailing address

838 Arnold Ave
Point Pleasant Boro, NJ 08742-2457

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180412000085 NJ Part B Supplier - Clinic/Group Practice 9931462587 Receives reassigned benefits from 13 practitioners
Practice locations: Belmar, NJ

National Provider Directory

National Provider Directory

Locations

616 5th Ave
Belmar, NJ 07719

Practitioners & affiliated clinicians

Practitioners 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1467965368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 ARNOLD AVE",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087422457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WARREN AVE",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077622039",
            "telephone_number": "848-469-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE SPINE AND SPORTS REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "ADAMCZYK",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "848-469-0411"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.