Provider Demographics
NPI:1427754225
Name:LIVE & THRIVE PHYSICAL THERAPY
Entity type:Organization
Organization Name:LIVE & THRIVE PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:
Authorized Official - First Name:TYESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DWIGHT-HIGGIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:973-941-7327
Mailing Address - Street 1:401 W 20TH ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19802-4003
Mailing Address - Country:US
Mailing Address - Phone:973-941-7327
Mailing Address - Fax:
Practice Address - Street 1:801 N DUPONT HWY
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-2544
Practice Address - Country:US
Practice Address - Phone:302-772-8465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-02
Last Update Date:2025-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty