Organization Active NPI

Thrive Family Chiropractic LLC

Doing business as Thrive Family Chiropractic

  • Chiropractor
  • Montgomery, AL
National Provider Identifier
1881304392
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
THRIVE FAMILY CHIROPRACTIC LLC
Doing business as
Thrive Family Chiropractic
Practice address
9174 Boyd Cooper Pkwy
Montgomery, AL 36117-7590
Phone
(334) 993-3030
Fax
(334) 886-8788
NPI assigned
Nov 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Dr. Stephanee LewisNPI 1134681695
Title
Doctor of Chiropractic
Phone
(334) 993-3030

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

9174 Boyd Cooper Pkwy
Montgomery, AL 36117-7590

Mailing address

9174 Boyd Cooper Pkwy
Montgomery, AL 36117-7590
Phone (334) 993-3030

Other identifiers 1

IdentifierTypeStateIssuer
1134681695MedicaidAL

Other names 1

  • Thrive Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230420002049 AL Part B Supplier - Clinic/Group Practice 2860857109 Receives reassigned benefits from 1 practitioner
Practice locations: Montgomery, AL

National Provider Directory

National Provider Directory

Locations

9174 Boyd Cooper Pkwy
Montgomery, AL 36117
Phone (334) 625-1114

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": "1669334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1881304392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9174 BOYD COOPER PKWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177590",
            "telephone_number": "334-993-3030",
            "fax_number": "334-886-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9174 BOYD COOPER PKWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177590",
            "telephone_number": "334-993-3030",
            "fax_number": "334-886-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-25",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "STEPHANEE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "334-993-3030",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134681695",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.