Thrive PT Group, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

THRIVE PT GROUP, LLC

Practice address

6069 Ridgeview Dr
Norton Shores, MI 49441-6143

Phone

(231) 670-7408

NPI assigned

Sep 27, 2023

Last updated

Sep 27, 2023By 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

Anthony Woodard, DPTNPI 1750002622

Title

Ceo

Phone

(231) 670-7408

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony Woodard

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1750002622
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1841079092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6069 RIDGEVIEW DR",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494416143",
            "telephone_number": "231-670-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6069 RIDGEVIEW DR",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494416143",
            "telephone_number": "231-670-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE PT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "231-670-7408",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Nicole Thompson
• Angela Marie Thompson, LMSW, CADC-M
• Emily Thompson, PHARMD.
• Jannah Hilary Thompson, M.D.
• Three Fates LLC (Chaotic Good)
• Thriving Minds Psychotherapy Services LLC
• Christie A Tice, BACHELOR IN SCIENCE
• Patrick Anthony Tietze, D.C.
• Kaylee Timmerman
• Total Renal Care Inc (Norton Shores Dialysis)

• Physical Therapy Clinic/Center in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Physical Therapy Clinic/Center in Michigan

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