Provider Demographics
NPI:1598453854
Name:THRIVE OT LLC
Entity Type:Organization
Organization Name:THRIVE OT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KARYN
Authorized Official - Middle Name:ALISON
Authorized Official - Last Name:DYCKOVA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L
Authorized Official - Phone:303-324-2702
Mailing Address - Street 1:8033 DRESSAGE RD
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80125-7953
Mailing Address - Country:US
Mailing Address - Phone:303-324-2702
Mailing Address - Fax:
Practice Address - Street 1:8033 DRESSAGE RD
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80125-7953
Practice Address - Country:US
Practice Address - Phone:303-324-2702
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty