Organization Active NPI

Thrive Physical Therapy & Wellness, LLC

  • Physical Therapy Clinic/Center
  • Loup City, NE
National Provider Identifier
1871236083
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
THRIVE PHYSICAL THERAPY & WELLNESS, LLC
Practice address
652 N St
Loup City, NE 68853-8131
Phone
(308) 380-1410
NPI assigned
Apr 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Authorized official

Name
Sara A Smedra, DPTNPI 1497496954
Title
Physical Therapist, Owner
Phone
(308) 380-1410

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
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

652 N St
Loup City, NE 68853-8131

Mailing address

47091 792ND Rd
Loup City, NE 68853-5150
Phone (308) 380-1410

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thrivephysicaltherapywellness@protonmail.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220531000836 NE Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1658759832 Receives reassigned benefits from 1 practitioner
Practice locations: Loup City, NE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1871236083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47091 792ND RD",
            "city": "LOUP CITY",
            "state": "NE",
            "postal_code": "688535150",
            "telephone_number": "308-380-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 N ST",
            "city": "LOUP CITY",
            "state": "NE",
            "postal_code": "688538131",
            "telephone_number": "308-380-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE PHYSICAL THERAPY & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "SMEDRA",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "308-380-1410",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thrivephysicaltherapywellness@protonmail.com",
            "affiliation": "N",
            "endpointDescription": "encryped email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": ".doc",
            "address_1": "652 N St",
            "city": "Loup City",
            "state": "NE",
            "country_code": "US",
            "postal_code": "688538131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Loup City, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.