Healthcare Provider Details
I. General information
NPI: 1013711969
Provider Name (Legal Business Name): THRIVE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/01/2025
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9521 COVE CREEK DR
HIGHLANDS RANCH CO
80129-5745
US
IV. Provider business mailing address
9521 COVE CREEK DR
HIGHLANDS RANCH CO
80129-5745
US
V. Phone/Fax
- Phone: 303-945-5106
- Fax:
- Phone: 303-945-5106
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XG0600X |
| Taxonomy | Gerontology Occupational Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JENNIFER
JUNKER
Title or Position: CO-OWNER
Credential: OTD, OTR/L
Phone: 701-426-2045