Healthcare Provider Details

I. General information

NPI: 1851909493
Provider Name (Legal Business Name): THRIVE THERAPY OF KS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2020
Last Update Date: 02/28/2026
Certification Date: 02/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9111 E DOUGLAS AVE STE 145
WICHITA KS
67207-1241
US

IV. Provider business mailing address

9111 E DOUGLAS AVE STE 145
WICHITA KS
67207-2202
US

V. Phone/Fax

Practice location:
  • Phone: 316-771-7315
  • Fax: 316-771-7319
Mailing address:
  • Phone: 316-670-9988
  • Fax: 316-364-4999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: ROXANNE FINLEY
Title or Position: ADMINISTRATOR
Credential: LPN
Phone: 316-771-7315