Healthcare Provider Details
I. General information
NPI: 1760326771
Provider Name (Legal Business Name): THRIVE PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/18/2026
Last Update Date: 04/18/2026
Certification Date: 04/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
233 F ST UNIT B
SALIDA CO
81201-2103
US
IV. Provider business mailing address
PO BOX 568
SALIDA CO
81201-0568
US
V. Phone/Fax
- Phone: 719-966-9711
- Fax:
- Phone: 719-966-9711
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ALLISON
M
HAMMOND
Title or Position: DOCTOR OF PHYSICAL THERAPY
Credential: PT, DPT
Phone: 719-966-9711