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General NPI Number Information
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NPI Number | 1497004287
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Entity Type | Organization
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Legal Business Name | THRIVE PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 09/07/2012
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 4141 COMMON ST
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City | LAKE CHARLES
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State | LA
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Zip | 70607-4501
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Country | US
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Telephone | 337-990-5621
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Fax | 337-990-5623
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Provider Business Mailing Address
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Address Line | 4141 COMMON ST
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City | LAKE CHARLES
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State | LA
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Zip | 70607-4501
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Country | US
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Telephone | 337-990-5621
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Fax | 337-990-5623
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KATHERINE STEWART
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Credential | DPT
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Telephone | 337-990-5621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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