Neuro Thrive LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

NEURO THRIVE LLC

Practice address

1963 NE Felicita PL
Jensen Beach, FL 34957-5756

Phone

(561) 801-0023

NPI assigned

Oct 1, 2020

Last updated

Oct 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brinley Neff Johnson, DPT

Title

Owner/Physical Therapist

Phone

(561) 801-0023

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1740887967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1963 NE FELICITA PL",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349575756",
            "telephone_number": "561-801-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1963 NE FELICITA PL",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349575756",
            "telephone_number": "561-801-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO THRIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRINLEY",
        "authorized_official_middle_name": "NEFF",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "561-801-0023",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gladys Murrow
• Chris Michael Nahat
• Thomas John Nardello Jr., D.C
• Yesenia Navarro, BS
• Samantha Sherece Nesbitt, B.S
• Amanda C Nugent, OD
• Sofia Erin O'Leary
• Louis Olegario, MD
• One HC-Jensen Beach LLC (The Cabana at Jensen Dunes)
• Radamee Orlandi, D.D.S.

• Physical Therapy Clinic/Center in Jensen Beach, FL
• Providers in Jensen Beach, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.