THRIVETOTHRIVE, LLC (NPI# 1275002461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275002461 |
| Entity Type | Organization |
| Organization Name | THRIVETOTHRIVE, LLC |
| Practice Address |
1606 Physicians Drive Inside Promina Health Wilmington NC 28401 |
| Mailing Address |
8401 Sarensen Ct Wilmington NC 28412-3393 |
| Practice Telephone | 9108594678 |
| Practice Fax Number | 8776883638 |
| Mailing Telephone | 9105365667 |
| Mailing Fax Number | 8776883638 |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | MR. JON DUPLESSIS (OWNER/MANAGER) |
| Authorized Official Telephone | 9105365667 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI OF OWNER | 1588793210 | 01 | |
| NC | OWNER PT NC STATE LICENSE | P6968 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8401 Sarensen Ct, Wilmington, NC 284123393 | 9108594678 | 8776883638 |
| Street Address |
1606 PHYSICIANS DRIVE INSIDE PROMINA HEALTH |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| 1750601944 | Adaptive Technologies, LLC | Prosthetic/Orthotic Supplier | 1960 South 17th Street, Suite 201, Wilmington, NC 28401 | 2010-06-10 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811482599 | Elite Pt LLC | Physical Therapist | 4825 Kennett Pike, Wilmington, DE 19807-1813 | 2018-06-26 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1639388259 | Elizabeth Henry | Physical Therapist | 6752 Parker Farm Dr, Suite 1b, Wilmington, NC 28405-3175 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1760923775 | Thomas Moore II | Physical Therapist | 5100 Paschall Dr, Durham, NC 27705-8534 | 2017-03-10 |
| 1154730992 | Niles Fleet | Physical Therapist | Wingate Rd., Reynolds Gymnasium Room 106, Winston Salem, NC 27106 | 2014-08-06 |
| 1629499181 | Karon Williams | Physical Therapist | 5801 Rupert Ln, Charlotte, NC 28215-2347 | 2013-12-30 |
| 1588940381 | James Edward Fernandes | Physical Therapist | Finch Yeager Building, Durham, NC 27710-0001 | 2011-10-25 |
| 1740466721 | Kyndall L Boyle | Physical Therapist | 719-a Greenway Rd #29, Suites 207 & 209, Boone, NC 28607 | 2008-01-21 |
| 1215135975 | Nicholas Daniel Potter | Physical Therapist | 118 Cameron Indoor Stadium, Box 90555, Durham, NC 27708-0001 | 2007-07-04 |
| 1356419360 | Carrie Ann Rubertino Shearer | Physical Therapist | 320 Emergency Room Dr, James A. Taylor Building Cb#7470, Chapel Hill, NC 27599-7470 | 2006-11-30 |
| 1942389861 | Todd Allen Watson | Physical Therapist | 1390 Sand Hill Rd, Suite 1, Candler, NC 28715-8938 | 2006-11-02 |
| 1285710145 | James Reece Scifers | Physical Therapist | 135 Moore Hall, Cullowhee, NC 28723 | 2006-10-31 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
Please comment or provide details below to improve the information on THRIVETOTHRIVE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.