Organization Active NPI

Thrive Sampson LLC

  • Physical Therapist
  • Clinton, NC
National Provider Identifier
1619673258
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THRIVE SAMPSON LLC
Practice address
1302 Sunset Ave
Clinton, NC 28328-3824
Phone
(910) 490-1269
NPI assigned
Feb 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Authorized official

Name
Leah P Aycock, PT, DPTNPI 1285350850
Title
Owner
Phone
(910) 990-6612

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1302 Sunset Ave
Clinton, NC 28328-3824

Mailing address

1302 Sunset Ave
Clinton, NC 28328-3824
Phone (910) 490-1269

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230623000220 NC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9234597204 Receives reassigned benefits from 2 practitioners
Practice locations: Clinton, NC

National Provider Directory

National Provider Directory

Locations

1302 Sunset Ave
Clinton, NC 28328
Phone (910) 490-1269

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1619673258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 SUNSET AVE",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283283824",
            "telephone_number": "910-490-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 SUNSET AVE",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283283824",
            "telephone_number": "910-490-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE SAMPSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "AYCOCK",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-990-6612",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.