NPIMap

Organization Active NPI

Physical Therapy at Thrive, LLC

Doing business as Thrive Physical Therapy and Pilates

  • Orthopedic Physical Therapist
  • Boise, ID
National Provider Identifier
1578799094
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT-1137 Issued in ID
Legal business name
PHYSICAL THERAPY AT THRIVE, LLC
Doing business as
Thrive Physical Therapy and Pilates
Practice address
2302 N Bogus Basin Rd
Ste. C
Boise, ID 83702-0902
Phone
(208) 344-0737
Fax
(208) 344-0759
NPI assigned
Jun 10, 2009
Last updated
Aug 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Jody Alison Thatcher Bullard, PTNPI 1881759645
Title
Managing Member, Owner
Phone
(208) 344-0737

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT-1137 ID Primary

Addresses

Primary practice location

2302 N Bogus Basin Rd
Ste. C
Boise, ID 83702-0902

Mailing address

2302 N Bogus Basin Rd Ste C
Boise, ID 83702-1024
Phone (208) 344-0737

Other names 2

  • Thrive Physical Therapy and Pilates Doing business as
  • Thrive Physical Therapy Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090707000684 ID Part B Supplier - Clinic/Group Practice 4486705217 Receives reassigned benefits from 6 practitioners
Practice locations: Boise, ID

National Provider Directory

National Provider Directory

Locations

2302 N Bogus Basin Rd
Ste C
Boise, ID 83702
Phone (208) 344-0730

Practitioners & affiliated clinicians

Practitioners 6

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": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1578799094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 N BOGUS BASIN RD STE C",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837021024",
            "telephone_number": "208-344-0737",
            "fax_number": "208-344-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 N BOGUS BASIN RD",
            "address_2": "STE. C",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837020902",
            "telephone_number": "208-344-0737",
            "fax_number": "208-344-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY AT THRIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "BULLARD",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "ALISON THATCHER",
        "authorized_official_title_or_position": "MANAGING MEMBER, OWNER",
        "authorized_official_telephone_number": "208-344-0737",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "ID",
            "license": "PT-1137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Physical Therapy and Pilates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thrive Physical Therapy and Pilates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thrive Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.