Thrive Physical Therapy And Wellness Llc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Valdosta, Georgia. Their current practice location is
111 Woodrow Wilson Dr Ste C, Valdosta, Georgia. You can reach out to their office (for appointments etc.) via phone at
(229) 262-4075.
Thrive Physical Therapy And Wellness Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Thrive Physical Therapy And Wellness Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1760128672.
Healthcare Provider's Profile
| Full Name | Thrive Physical Therapy And Wellness Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 111 Woodrow Wilson Dr Ste C, Valdosta, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1760128672
- Provider Enumeration Date: 05/12/2022
- Last Update Date: 12/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 8123401379
- Enrollment ID: O20220820000049
Medical Identifiers
Medical identifiers for Thrive Physical Therapy And Wellness Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760128672 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Thrive Physical Therapy And Wellness Llc acts as a billing entity for following providers:
| Provider Name | Joseph D Robison |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1932666278
PECOS PAC ID: 9335572924
Enrollment ID: I20191212002175 |
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| Provider Name | Emily P Corbett |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1265991715
PECOS PAC ID: 6103235296
Enrollment ID: I20210430001187 |
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| Provider Name | Cheryl Lynn Randolph |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1063294478
PECOS PAC ID: 5597111336
Enrollment ID: I20231030003651 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thrive Physical Therapy And Wellness Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| 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 |
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