Organization Active NPI

Thrive Pediatric Therapy

  • Speech-Language Pathologist
  • West Monroe, LA
National Provider Identifier
1932877529
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
THRIVE PEDIATRIC THERAPY
Practice address
107 Contempo Ave Ste 1
West Monroe, LA 71291-5382
Phone
(318) 267-2597
NPI assigned
Aug 31, 2021
Last updated
Aug 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Authorized official

Name
Mallory Sanie, MSP
Title
Owner
Phone
(318) 267-2597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

107 Contempo Ave Ste 1
West Monroe, LA 71291-5382

Mailing address

107 Contempo Ave Ste 1
West Monroe, LA 71291-5382

National Provider Directory

National Provider Directory

Locations

107 Contempo Ave
Ste 1
West Monroe, LA 71291
Phone (318) 381-8520

4624 Cypress St
Ste 8
West Monroe, LA 71291
Phone (318) 654-7439

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1932877529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CONTEMPO AVE STE 1",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CONTEMPO AVE STE 1",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915382",
            "telephone_number": "318-267-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "SANIE",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-267-2597",
        "authorized_official_credential": "MSP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.