Provider Demographics
NPI:1275097867
Name:THRIVERX
Entity Type:Organization
Organization Name:THRIVERX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:615-812-6591
Mailing Address - Street 1:152 GRAY STATION RD APT 6
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37615-2595
Mailing Address - Country:US
Mailing Address - Phone:615-812-6591
Mailing Address - Fax:
Practice Address - Street 1:152 GRAY STATION RD APT 6
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37615-2595
Practice Address - Country:US
Practice Address - Phone:615-812-6591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-28
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy