Provider Demographics
NPI:1497937528
Name:THRIVE INTEGRATED PHYSICAL THERAPY, PC
Entity Type:Organization
Organization Name:THRIVE INTEGRATED PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RENA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMITAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-254-7750
Mailing Address - Street 1:611 BROADWAY
Mailing Address - Street 2:#503
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-2608
Mailing Address - Country:US
Mailing Address - Phone:212-254-7750
Mailing Address - Fax:212-254-1202
Practice Address - Street 1:611 BROADWAY
Practice Address - Street 2:#503
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-2608
Practice Address - Country:US
Practice Address - Phone:212-254-7750
Practice Address - Fax:212-254-1202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009326-1261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy