Healthcare Provider Details

I. General information

NPI: 1639924178
Provider Name (Legal Business Name): THRIVING BABIES THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2024
Last Update Date: 04/18/2024
Certification Date: 04/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1127 HELMSDALE DR
FOREST VA
24551-4740
US

IV. Provider business mailing address

1127 HELMSDALE DR
FOREST VA
24551-4740
US

V. Phone/Fax

Practice location:
  • Phone: 434-660-3323
  • Fax:
Mailing address:
  • Phone: 434-660-3323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MORGAN PFAFF
Title or Position: OWNER/CEO
Credential: PT, DPT
Phone: 434-660-3323