Healthcare Provider Details

I. General information

NPI: 1578400958
Provider Name (Legal Business Name): THRIVE RECREATIONAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1955 RIVERSIDE RD
MARION VA
24354-6806
US

IV. Provider business mailing address

1955 RIVERSIDE RD
MARION VA
24354-6806
US

V. Phone/Fax

Practice location:
  • Phone: 276-780-6058
  • Fax:
Mailing address:
  • Phone: 276-780-6058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225800000X
TaxonomyRecreation Therapist
License Number
License Number State

VIII. Authorized Official

Name: MARCIA ANN AUSTIN
Title or Position: OWNER/FOUNDER
Credential: CTRS
Phone: 276-780-6058