Provider Demographics
NPI:1710651963
Name:HIGH THRIVE THERAPY LLC
Entity Type:Organization
Organization Name:HIGH THRIVE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:FIGARATTO
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:207-815-9643
Mailing Address - Street 1:75 BISHOP ST STE 19
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103-2614
Mailing Address - Country:US
Mailing Address - Phone:207-808-8382
Mailing Address - Fax:
Practice Address - Street 1:75 BISHOP ST STE 19
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103-2614
Practice Address - Country:US
Practice Address - Phone:207-808-8382
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-02
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation