Provider Demographics
NPI:1215494604
Name:THRIVE PHYSICAL THERAPY, PLLC
Entity type:Organization
Organization Name:THRIVE PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LORCH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:315-730-0522
Mailing Address - Street 1:640 PINNACLE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-2630
Mailing Address - Country:US
Mailing Address - Phone:315-730-0522
Mailing Address - Fax:
Practice Address - Street 1:640 PINNACLE RD
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-2630
Practice Address - Country:US
Practice Address - Phone:315-730-0522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurologyGroup - Single Specialty