Organization Active NPI

Thrive Physical Therapy Incorporated

  • Orthopedic Physical Therapist
  • North Chesterfield, VA
National Provider Identifier
1629098181
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1103474 Issued in VA
Legal business name
THRIVE PHYSICAL THERAPY INCORPORATED
Practice address
7400 Beaufont Springs Dr
Suite 520
North Chesterfield, VA 23225-5556
Phone
(804) 320-2220
Fax
(804) 320-2226
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Authorized official

Name
Mr. Charles Clarke Tanner, PT.NPI 1750304598
Title
PT
Phone
(804) 320-2220

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 1103474 VA Primary

Addresses

Primary practice location

7400 Beaufont Springs Dr
Suite 520
North Chesterfield, VA 23225-5556

Mailing address

7400 Beaufont Springs Drive
Suite 520
North Chesterfield, VA 23225-5556
Phone (804) 320-2220

Other names 1

  • Optimal Solutions Physical Therapy Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041206000691 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2961468566 Receives reassigned benefits from 7 practitioners
Practice locations: North Chesterfield, VA

National Provider Directory

National Provider Directory

Locations

7400 Beaufont Spring Dr
Ste 520
North Chesterfield, VA 23225
Phone (804) 320-2220

2837 Hathaway Rd
Ste G
Richmond, VA 23225
Phone (804) 380-3209

Practitioners & affiliated clinicians

Practitioners 10

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": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1629098181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 BEAUFONT SPRINGS DRIVE",
            "address_2": "SUITE 520",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232255556",
            "telephone_number": "804-320-2220",
            "fax_number": "804-320-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 BEAUFONT SPRINGS DR",
            "address_2": "SUITE 520",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232255556",
            "telephone_number": "804-320-2220",
            "fax_number": "804-320-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE PHYSICAL THERAPY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "CLARKE",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "804-320-2220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "1103474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Solutions Physical Therapy Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.