MEDICARE: THRIVERA THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)

General Provider Information

NPI Number	:	1477405132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRIVERA THERAPY LLC

Provider Business Mailing Address
First Line	:	5307 CARAWAY LN
Second Line	:
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613-8172
Country	:	US
Telephone Number	:	319-277-2141
Fax Number	:

Provider Business Practice Location Address
First Line	:	5307 CARAWAY LN
Second Line	:
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613-8172
Country	:	US
Telephone Number	:	319-277-2141
Fax Number	:

Authorized Official
Title or Position	:	CHIEF STRATEGY OFFICER
Name	:	PATRICK O'LEARY
Credential	:
Telephone Number	:	319-277-2141

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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Directions to “THRIVERA THERAPY LLC ” Practice Location

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