MEDICARE: THRIVE PELVIC THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1780418178
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRIVE PELVIC THERAPY LLC

Provider Business Mailing Address
First Line	:	210 SILLS LN
Second Line	:
City	:	DOWNINGTOWN
State	:	PA
Zip	:	19335-4963
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 VILLAGE SQ
Second Line	:
City	:	HONEY BROOK
State	:	PA
Zip	:	19344-8646
Country	:	US
Telephone Number	:	717-936-9199
Fax Number	:

Authorized Official
Title or Position	:	SOLE MBR
Name	:	KATHRYN LESTER
Credential	:
Telephone Number	:	585-315-4554

Provider Enumeration Date	:	08/28/2024
Last Update Date	:	08/28/2024

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Directions to “THRIVE PELVIC THERAPY LLC ” Practice Location

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