Active NPI
Thrive in-Home Rehab, LLC
- Geriatric Physical Therapist
- Fort Worth, TX
National Provider Identifier
1609354968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 1156556
- Legal business name
- THRIVE IN-HOME REHAB, LLC
- Practice address
- 4913 Bucking Bronc Dr
Fort Worth, TX 76126-6467 - Phone
- (682) 235-8627
- Fax
- (866) 710-6897
- NPI assigned
- Jul 30, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashlee D Britting, PT, DPT, GCS
- Title
- Ceo
- Phone
- (682) 235-8627
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 1156556 | TX | Primary |
Addresses
Primary practice location
4913 Bucking Bronc Dr
Fort Worth, TX 76126-6467
Mailing address
6387B Camp Bowie Blvd # 313
Fort Worth, TX 76116-5423
Phone (682) 235-8627
National Provider Directory
National Provider DirectoryLocations
6387 Camp Bowie Blvd
Ste B313
Fort Worth, TX 76116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597017600000",
"number": "1609354968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6387B CAMP BOWIE BLVD # 313",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761165423",
"telephone_number": "682-235-8627",
"fax_number": "866-710-6897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4913 BUCKING BRONC DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761266467",
"telephone_number": "682-235-8627",
"fax_number": "866-710-6897"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIVE IN-HOME REHAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-30",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A",
"authorized_official_last_name": "BRITTING",
"authorized_official_first_name": "ASHLEE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "682-235-8627",
"authorized_official_credential": "PT, DPT, GCS"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Geriatrics",
"state": "TX",
"license": "1156556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.