Provider Demographics
NPI:1346850385
Name:THRIVE PHYSICAL THERAPY AND WELLNESS LLC
Entity Type:Organization
Organization Name:THRIVE PHYSICAL THERAPY AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:WILSON
Authorized Official - Last Name:GILMORE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:205-312-7925
Mailing Address - Street 1:4268 CAHABA HEIGHTS CT STE 104
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-5737
Mailing Address - Country:US
Mailing Address - Phone:205-312-7925
Mailing Address - Fax:
Practice Address - Street 1:4268 CAHABA HEIGHTS CT STE 104
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243-5737
Practice Address - Country:US
Practice Address - Phone:205-312-7925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-04
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy