Provider Demographics
NPI:1295499531
Name:THRIVE MOBILE PT & WELLNESS LLC
Entity type:Organization
Organization Name:THRIVE MOBILE PT & WELLNESS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARLENA
Authorized Official - Middle Name:
Authorized Official - Last Name:REIF
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:864-539-2204
Mailing Address - Street 1:114 KEOWEE SCHOOL RD UNIT C
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:SC
Mailing Address - Zip Code:29672-6779
Mailing Address - Country:US
Mailing Address - Phone:864-539-2204
Mailing Address - Fax:855-344-5560
Practice Address - Street 1:114 KEOWEE SCHOOL RD UNIT C
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29672-6779
Practice Address - Country:US
Practice Address - Phone:864-539-2204
Practice Address - Fax:855-344-5560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-22
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Multi-Specialty
No2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurologyGroup - Multi-Specialty