Healthcare Provider Details

I. General information

NPI: 1922923242
Provider Name (Legal Business Name): THRIVEWELL COLLECTIVE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 WARRIOR DR STE 3
STEPHENS CITY VA
22655-4080
US

IV. Provider business mailing address

3814 MUNSON RD
FALLS CHURCH VA
22041-1624
US

V. Phone/Fax

Practice location:
  • Phone: 540-773-1973
  • Fax:
Mailing address:
  • Phone: 202-236-9720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: HEATHER M DOUCET
Title or Position: CORPORATE OFFICER
Credential:
Phone: 202-236-9720