| Thrive Physical Therapy, Inc. | |
|
4141 Common St, Lake Charles, LA 70607-4501 | |
| (337) 990-5621 | |
| (337) 990-5623 |
| Full Name | Thrive Physical Therapy, Inc. |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 4141 Common St, Lake Charles, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497004287 | NPI | - | NPPES |
| Provider Name | Katherine C Prevost |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124308234 PECOS PAC ID: 5991972929 Enrollment ID: I20120116000135 |
| Provider Name | Alexandra Elizabeth Widcamp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154947497 PECOS PAC ID: 1759705601 Enrollment ID: I20200724000128 |
| Provider Name | Nathaniel Perkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639789449 PECOS PAC ID: 2769808534 Enrollment ID: I20200811004127 |
| Provider Name | Hannah C Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114636248 PECOS PAC ID: 7416329701 Enrollment ID: I20230215000660 |
| Provider Name | Alyssa Sonnier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316698905 PECOS PAC ID: 3072973171 Enrollment ID: I20230721000183 |
| Provider Name | Kyle Carter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619669694 PECOS PAC ID: 0547614281 Enrollment ID: I20230928001327 |
| Provider Name | Taylor M Andrews |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639715493 PECOS PAC ID: 8921432725 Enrollment ID: I20241113001455 |
| Provider Name | Kelli Theriot |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730987314 PECOS PAC ID: 8820512932 Enrollment ID: I20250410001865 |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Physical Therapy, Inc. 4141 Common St, Lake Charles, LA 70607-4501 Ph: (337) 990-5621 | Thrive Physical Therapy, Inc. 4141 Common St, Lake Charles, LA 70607-4501 Ph: (337) 990-5621 |