Thrivewell Occupational Therapy, Inc.

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

THRIVEWELL OCCUPATIONAL THERAPY, INC.

Practice address

121 Roundup Rd
Glendora, CA 91741-3841

Phone

(626) 502-7645

NPI assigned

Oct 27, 2025

Organization subpart

No

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

Authorized official

Name

Sara Wallace, MS, OTR/LNPI 1982569208

Title

Ceo

Phone

(626) 502-7645

Specialties & licenses 1

Addresses

Practitioners 1

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

• Sara Wallace, MS, OTR/L

  • Pediatric Occupational Therapist
  • Glendora, CA
  • NPI 1982569208

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1629946017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2225",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917402225",
            "telephone_number": "626-502-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 ROUNDUP RD",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413841",
            "telephone_number": "626-502-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVEWELL OCCUPATIONAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-502-7645",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Occupational Therapist in Glendora, CA
• Providers in Glendora, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.