Thrive and Shine Therapy

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

THRIVE AND SHINE THERAPY

Practice address

3251 W 6TH St Ste 401
Los Angeles, CA 90020-5029

Phone

(310) 954-9614

NPI assigned

Oct 1, 2024

Organization subpart

No

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

Authorized official

Name

Neda Rezapoor

Title

Clinical Director

Phone

(310) 866-9958

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Debbie Cornejo, COTA/L

  • Occupational Therapy Assistant
  • Los Angeles, CA
  • NPI 1144055344
  NPD
• Alisa Kokanoutranon, DPT

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1366057937
  NPD
• Melissa Mateo

  • Speech-Language Assistant
  • Los Angeles, CA
  • NPI 1609747914
  NPD

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1598583171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 W 6TH ST STE 401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900205029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 W 6TH ST STE 401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900205029",
            "telephone_number": "310-954-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE AND SHINE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "REZAPOOR",
        "authorized_official_first_name": "NEDA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "310-866-9958"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrifty Payless Inc
• Thrifty Payless Inc
• Thrifty Payless Inc
• Thrifty Payless Inc
• Thrive Ad Psychology
• Thrive and Shine: Speech-Language Pathology
• Thrive Health Inc.
• Thrive Occupational Therapy, Inc
• Thrive Sexual Health
• Thrive Sports and Wellness

• Pediatric Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.