THRIVE CHIROPRACTIC GROUP 3 LLC (NPI# 1154948073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154948073 |
| Entity Type | Organization |
| Organization Name | THRIVE CHIROPRACTIC GROUP 3 LLC |
| Practice Address |
1201 Nw 178th St Ste 119 Edmond OK 73012-4280 |
| Mailing Address |
8013 S Western Ave Ste A Oklahoma City OK 73139-2537 |
| Practice Telephone | 4056045295 |
| Practice Fax Number | 4056045297 |
| Mailing Telephone | 4056045295 |
| Mailing Fax Number | 4056045297 |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-07-29 |
| Authorized Official Name | JAMES TYLER PERTREE (OWNER) |
| Authorized Official Telephone | 4056045295 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Thrive Chiropractic Group | Doing Business As Name - Organization |
| Street Address |
1201 NW 178TH ST STE 119 |
| City | EDMOND |
| State | OK |
| Zip Code | 73012-4280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013912 | Ashley Lambert | Counselor | 19501 N Pennsylvia, Apt 210, Edmond, OK 73012 | 2020-08-13 |
| 1699316083 | First Rate Eye Care Pllc | Optometrist | 1140 Nw 192nd St., Suite A, Edmond, OK 73012 | 2019-10-07 |
| 1659869881 | Brent Byers | Registered Nurse | 3040 Nw 179th Ct, Edmond, OK 73012 | 2018-04-24 |
| 1386173672 | John A Hale | Respiratory Therapist, Certified | 19100 Meadows Crossing Drive, Edmond, OK 73012 | 2017-06-08 |
| 1740715598 | Ryan Hays | Counselor | 620 Nw 178 St., Apt. 4c, Edmond, OK 73012 | 2017-04-28 |
| 1245691336 | Jessica Collins | Behavioral Analyst | 18217 Sandhurst Ct, Edmond, OK 73012 | 2016-03-16 |
| 1538545801 | Cynthia Ann Thompson | Case Manager/Care Coordinator | 1732 Kelly, Edmond, OK 73012 | 2015-08-10 |
| 1538564224 | Function Physical Therapy, LLC | Physical Therapist | 16502 N Pennsylvania Ave, Suite C, Edmond, OK 73012 | 2014-10-24 |
| 1003227414 | Deer Creek Family Healthcare and Wellness Clinic LLC | Clinic/Center | 19401 N. Portland, Edmond, OK 73012 | 2014-05-20 |
| 1316383649 | Ralphs Family Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1101 Nw178th Street, Suite A, Edmond, OK 73012 | 2013-05-14 |
| Find all providers in zip 73012 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556822 | Edmond Chiropractic Rehabilitation Pllc | Chiropractor | 3201 E Memorial Rd Ste C, Edmond, OK 73013-7093 | 2020-07-30 |
| 1548745797 | Radiant Life Chiropractic Pllc | Chiropractor | 17236 N May Ave Ste A, Edmond, OK 73012-9137 | 2018-10-03 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1720592678 | Joren Michael Whitley | Chiropractor | 1973 W 33rd St # 110, Edmond, OK 73013-3875 | 2017-11-29 |
| 1194243568 | Nightengale Chiropractic, LLC | Chiropractor | 2616 Covell Village Dr Ste. 120, Edmond, OK 73003 | 2017-09-06 |
| 1922555994 | Catherine Rose Haikin | Chiropractor | 1751 W 33rd St, Suite 130, Edmond, OK 73013 | 2016-09-07 |
| 1669837886 | Caitlin Hanks | Chiropractor | 29 W 15th St, Edmond, OK 73013-4002 | 2015-12-16 |
| 1619366127 | Dr. Megan January Pllc | Chiropractor | 15009 Bristol Park Blvd, Edmond, OK 73013-1887 | 2015-01-21 |
| 1750786448 | Cox Chiropractic | Chiropractor | 1801 Brittany Ln, Edmond, OK 73003-3871 | 2014-10-24 |
| 1407197866 | Frontier Family Chiropractic | Chiropractor | 1132 Providence Ct, Edmond, OK 73003-6155 | 2013-03-11 |
| Find all providers in EDMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.