| Thrive Physical Therapy And Wellness Llc | |
|
111 Woodrow Wilson Dr Ste C, Valdosta, GA 31602-2583 | |
| (229) 262-4075 | |
| (229) 262-4076 |
| Full Name | Thrive Physical Therapy And Wellness Llc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 111 Woodrow Wilson Dr Ste C, Valdosta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760128672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
| Provider Name | Joseph D Robison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932666278 PECOS PAC ID: 9335572924 Enrollment ID: I20191212002175 |
| Provider Name | Emily P Corbett |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265991715 PECOS PAC ID: 6103235296 Enrollment ID: I20210430001187 |
| Provider Name | Cheryl Lynn Randolph |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063294478 PECOS PAC ID: 5597111336 Enrollment ID: I20231030003651 |
| Provider Name | Jalissa Nicole Black |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770346785 PECOS PAC ID: 5799129136 Enrollment ID: I20240214000621 |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Physical Therapy And Wellness Llc 111 Woodrow Wilson Dr Ste C, Valdosta, GA 31602-2583 Ph: (229) 262-4075 | Thrive Physical Therapy And Wellness Llc 111 Woodrow Wilson Dr Ste C, Valdosta, GA 31602-2583 Ph: (229) 262-4075 |