NPIMap

Organization Active NPI

Thrive Proactive Health

  • Sports Physical Therapist
  • Virginia Beach, VA
National Provider Identifier
1710345293
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
2305204000 Issued in VA
Legal business name
THRIVE PROACTIVE HEALTH
Practice address
2830 Virginia Beach Blvd
Virginia Beach, VA 23452-7614
Phone
(757) 416-6700
Fax
(757) 416-7777
NPI assigned
Jan 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Authorized official

Name
Mrs. Julie Blandin, PTNPI 1124080551
Title
Managing Member
Phone
(757) 416-6700

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
Sports Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251S0007X 2305204000 VA Primary

Addresses

Primary practice location

2830 Virginia Beach Blvd
Virginia Beach, VA 23452-7614

Mailing address

1340 N Great Neck Rd
#1272-182
Virginia Beach, VA 23454-2268
Phone (757) 416-6700

Other names 1

  • Thrive Proactive Health Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170206000499 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6800179490 Receives reassigned benefits from 7 practitioners
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

1340 N Great Neck Rd
Ste 127282
Virginia Beach, VA 23454

2830 Virginia Beach Blvd
Virginia Beach, VA 23452
Phone (757) 364-0067

1320 Kempsville Rd
Virginia Beach, VA 23464
Phone (757) 416-6700

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1710345293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 N GREAT NECK RD",
            "address_2": "#1272-182",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542268",
            "telephone_number": "757-416-6700",
            "fax_number": "757-416-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 VIRGINIA BEACH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527614",
            "telephone_number": "757-416-6700",
            "fax_number": "757-416-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE PROACTIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "BLANDIN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "757-416-6700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "VA",
            "license": "2305204000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Proactive Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.