Provider Demographics
NPI:1194612028
Name:U THRIVE
Entity type:Organization
Organization Name:U THRIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:R
Authorized Official - Last Name:PIETRZYKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:COTA/L
Authorized Official - Phone:919-943-7508
Mailing Address - Street 1:3777 VILLAMORE LN APT ODESSA
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:FL
Mailing Address - Zip Code:33556-4196
Mailing Address - Country:US
Mailing Address - Phone:919-943-7508
Mailing Address - Fax:
Practice Address - Street 1:3777 VILLAMORE LN APT ODESSA
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:FL
Practice Address - Zip Code:33556-4196
Practice Address - Country:US
Practice Address - Phone:919-943-7508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty