Provider Demographics
NPI:1861012395
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
Authorized Official - Prefix:
Authorized Official - First Name:BERNADETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-439-5825
Mailing Address - Street 1:209 SOLAR DRIVCE
Mailing Address - Street 2:
Mailing Address - City:WALKERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21793
Mailing Address - Country:US
Mailing Address - Phone:240-439-5825
Mailing Address - Fax:201-233-1234
Practice Address - Street 1:209 SOLAR DRIVCE
Practice Address - Street 2:
Practice Address - City:WALKERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21793
Practice Address - Country:US
Practice Address - Phone:240-439-5825
Practice Address - Fax:201-233-1234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-24
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty