# THRIVE PT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386141752
- **Authorized official:** ALISHA M MARTIN (BUSINESS MANAGER)
- **Authorized official phone:** (301) 421-1125

## Contact information

- **Practice address:** 3901 NATIONAL DR STE 100, BURTONSVILLE, MD 20866-1176
- **Practice address phone:** (301) 421-1125
- **Practice address fax:** (301) 500-2175
- **Mailing address:** PO BOX 356, BURTONSVILLE, MD 20866-0356
- **Mailing address phone:** (301) 421-1125
- **Mailing address fax:** (301) 500-2175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/11/2018
- **Last updated:** 04/11/2018