REVITALIZE PHYSICAL THERAPY LLC (NPI# 1356715379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356715379 |
| Entity Type | Organization |
| Organization Name | REVITALIZE PHYSICAL THERAPY LLC |
| Practice Address |
227 S Ida St Wichita KS 67211 |
| Mailing Address |
227 S Ida St Wichita KS 67211-1507 |
| Practice Telephone | 6207970313 |
| Practice Fax Number | 6205082008 |
| Mailing Telephone | 6207970313 |
| Mailing Fax Number | 6205082008 |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2019-04-23 |
| Authorized Official Name | HOLLY ZOOK MILLIGAN (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 6207970313 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5217 Timber Creek Rd, Great Bend, KS 675306613 | 6207970313 | |
| 227 S Ida St, Wichita, KS 67211 | 6207970313 | 6205082008 |
| 700 N Market St Ste A, Wichita, KS 672143530 | 3162016047 | 6205082008 |
| Street Address |
227 S IDA ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162683 | Karlee Dawn Gluszek | Specialist/Technologist | 1947 S Lulu St, Wichita, KS 67211 | 2017-09-07 |
| 1780139659 | Jaclyn Blyholder | Dentist | 639 S. Hillside, Wichita, KS 67211 | 2016-08-22 |
| 1750753232 | Accurate Sleep Lab | Clinical Medical Laboratory | 411 S Pattie St Suite 2, Wichita, KS 67211 | 2015-10-23 |
| 1841628013 | Joseph Michael Stech | Family Medicine | 940 S. St. Francis, Guadalupe Clinic, Wichita, KS 67211 | 2013-10-24 |
| 1902166648 | Debby Elwood | Counselor | 830 S. Hillside, Wichita, KS 67211 | 2012-05-28 |
| 1205038726 | Patricia (pat) J. Eagleman | Social Worker | 333 S. Greenwood, Wichita, KS 67211 | 2007-06-05 |
| 1114147717 | Rodolfo A Argosino Md Pa | Family Medicine | 1148 S Hillside, 106, Wichita, KS 67211 | 2007-04-26 |
| 1801911086 | Susan Wright Rockley | Physical Therapist | 2535 East Lincoln, Wichita, KS 67211 | 2007-03-20 |
| 1578618021 | Dependable Assisted Living | Home Health | 401 S Greenwood St, Wichita, KS 67211 | 2007-01-24 |
| 1982759981 | Unique Feet Pedorthics Inc | Orthotist | 750 South Hillside, Wichita, KS 67211 | 2007-01-23 |
| Find all providers in zip 67211 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396974 | Kim Deann Kercher | Physical Therapist | Legacy At Grassland Estates, 10665 W 13th St N Apt 329, Wichita, KS 67212 | 2020-11-04 |
| 1588282982 | Ashley Janae Sevart | Physical Therapist | 2300 N Tyler Rd, Wichita, KS 67205-8766 | 2020-07-12 |
| 1376168294 | Bayli Ann Palmer | Physical Therapist | 10333 E 21st St N Ste 406, Wichita, KS 67206-3547 | 2020-06-16 |
| 1376176107 | Natural Wellness Physiotherapy | Physical Therapist | 11444 E Central Ave, Wichita, KS 67206-2805 | 2020-02-20 |
| 1629618095 | Sahar Eshghi | Physical Therapist | 664 N Stratford Ln, Wichita, KS 67206-1530 | 2020-01-13 |
| 1063071306 | Kyle Waits | Physical Therapist | 2243 S Meridian Ave Ste 109, Wichita, KS 67213-1911 | 2019-06-11 |
| 1851875298 | Kalie Dickman | Physical Therapist | 6505 E 37th St N Ste 300, Wichita, KS 67226-3233 | 2018-09-21 |
| 1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
| 1649764887 | Matthew Bradford Jenkins | Physical Therapist | 7728 W Central Park St, Wichita, KS 67205-1630 | 2018-06-20 |
| 1801386891 | Adam William Veenis | Physical Therapist | 7340 W 21st St N Ste 100, Wichita, KS 67205-1770 | 2018-05-15 |
| Find all providers in WICHITA | ||||
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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.