Thrive Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

THRIVE PHYSICAL THERAPY, LLC

Practice address

417 E Urbandale Dr
Moberly, MO 65270-1936

Phone

(660) 676-8187

NPI assigned

May 20, 2019

Organization subpart

No

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

Authorized official

Name

Thomas G. Johnston, P.T.NPI 1538628052

Title

President

Phone

(660) 676-8187

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 3

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

• Thomas Johnston

  • Physical Therapist
  • Moberly, MO
  • NPI 1538628052
  Medicare reassignment Care Compare group NPD Authorized official
• Rachael Fletcher, PT, DPT, ATC

  • Physical Therapist
  • Fulton, MO
  • NPI 1689120933
  Medicare reassignment Care Compare group NPD
• Lauren August Johnston, DPT, PT

  • Physical Therapist
  • Moberly, MO
  • NPI 1588327100
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1568029148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 E URBANDALE DR",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652701936",
            "telephone_number": "606-372-1417",
            "fax_number": "660-372-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 E URBANDALE DR",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652701936",
            "telephone_number": "660-676-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-20",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "660-676-8187",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "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": []
}

• Ian Thacker
• Theratree SLP, LLC
• Angela Beth Thomas, NP
• Letrisha Ann Thomas, D.D.S.
• Shirley Thompson, APRN, BC, FNP, GNP
• Troy a Hutinger DDS PC
• Turnbaugh Surgical Associates, Inc.
• Dana Valencia, M.D.
• Valley View Health & Rehabilitation, LLC
• John N Vani, MD

• Physical Therapy Clinic/Center in Moberly, MO
• Providers in Moberly, MO by specialty
• Physical Therapy Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.