Thryve Healing and Performance

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

THRYVE HEALING AND PERFORMANCE

Practice address

734 Grand Ave
Ridgefield, NJ 07657-1041

Phone

(732) 962-6056

NPI assigned

May 9, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Dylan Church, ATCNPI 1902322167

Title

Co-Owner/Athletic Trainer

Phone

(908) 239-9392

Specialties & licenses 2

Addresses

Tax ID family

Thryve Healing and Performance2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Thryve Healing and Performance

  • Physical Therapy Clinic/Center
  • Colts Neck, NJ
  • NPI 1831843036
  NPD tax ID

Practitioners 1

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

• Dylan Church, LAT,ATC

  • Athletic Trainer
  • Spotswood, NJ
  • NPI 1902322167
  NPD Authorized official

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1487390977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 STATE ROUTE 34 STE 108",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222523",
            "telephone_number": "732-962-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 GRAND AVE",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571041",
            "telephone_number": "732-962-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRYVE HEALING AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_title_or_position": "CO-OWNER/ATHLETIC TRAINER",
        "authorized_official_telephone_number": "908-239-9392",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATC"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunrise Academy LLC
• Ozcan John Tas, D.M.D.
• The Tranquil Experience Wellness Center
• The Tranquil X
• Theradynamics Physical Therapy LLC
• Tru Acupuncture and Oriental Medicine LLC
• Valley Dental Associates, PA
• Patricia Connolly Vincentz, P.T.
• Vivant Medical Care PC
• Westfield Physical Therapy LLC

• Physical Therapy Clinic/Center in Ridgefield, NJ
• Providers in Ridgefield, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.