NPIMap

Organization Active NPI

Thrive Integrated Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1497937528
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
009326-1 Issued in NY
Legal business name
THRIVE INTEGRATED PHYSICAL THERAPY, PC
Practice address
611 Broadway
#503
New York, NY 10012-2608
Phone
(212) 254-7750
Fax
(212) 254-1202
NPI assigned
Nov 30, 2007
Last updated
Nov 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Rena Amitay
Title
General Manager
Phone
(212) 254-7750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 009326-1 NY Primary

Addresses

Primary practice location

611 Broadway
#503
New York, NY 10012-2608

Mailing address

611 Broadway
#503
New York, NY 10012-2608
Phone (212) 254-7750

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040816001432 NY Part B Supplier - Clinic/Group Practice 9739152935 Receives reassigned benefits from 10 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

594 Broadway
Ste 702
New York, NY 10012
Phone (212) 254-7750

611 Broadway
#503B
New York, NY 10012
Phone (212) 254-7750

611 Broadway
Rm 503
New York, NY 10012
Phone (212) 254-7750

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1497937528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 BROADWAY",
            "address_2": "#503",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122608",
            "telephone_number": "212-254-7750",
            "fax_number": "212-254-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 BROADWAY",
            "address_2": "#503",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122608",
            "telephone_number": "212-254-7750",
            "fax_number": "212-254-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE INTEGRATED PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "AMITAY",
        "authorized_official_first_name": "RENA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "212-254-7750"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "009326-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.