REVIVE PHYSICAL THERAPY, LLC (NPI# 1962044735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962044735 |
| Entity Type | Organization |
| Organization Name | REVIVE PHYSICAL THERAPY, LLC |
| Practice Address |
980 Ute Ln Gunnison CO 81230-8704 |
| Practice Telephone | 7192518593 |
| Mailing Telephone | 7192518593 |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2020-01-07 |
| Authorized Official Name | DR. TAREN COLLEEN FRAZIER (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 7192518593 |
| Authorized Official Credential | PT, DPT |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982102620 | Revive Physical Therapy, LLC | Clinic/Center | 12550 Airline Hwy Ste 102, Gonzales, LA 70737-2269 | 2018-01-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Revive Physical Therapy, LLC | 980 Ute Lane, Gunnison, CO 81230 |
| Oregon Corporations, Companies and Business Names | REVIVE PHYSICAL THERAPY, LLC | 18091 Sw Lower Boones Ferry, Portland, OR 97224 |
| Street Address |
980 UTE LN |
| City | GUNNISON |
| State | CO |
| Zip Code | 81230-8704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225646391 | Pinnacle Insight LLC | Counselor | 587 Fairway Lane, Gunnison, CO 81230 | 2020-07-15 |
| 1689034084 | Emily Fitzgerald | Registered Nurse | 225 N Pine St., Ste E, Gunnison, CO 81230 | 2016-02-26 |
| 1184046617 | Rebecca Mecklenburg | Massage Therapist | 116 N Wisconsin St, Gunnison, CO 81230 | 2014-01-17 |
| 1538486824 | Brenda G. Ryan | Registered Nurse | 225 N. Pine St., Suite E, Gunnison, CO 81230 | 2010-04-26 |
| 1376784546 | Cynthia Cooper Smock | Counselor | 107 E Georgia, Suite 3e, Gunnison, CO 81230 | 2009-03-17 |
| 1154407823 | Gregory F Holley | Physician Assistant | 707 North Taylor, Gunnison, CO 81230 | 2006-10-27 |
| 1942234943 | Belinda A Beal | Counselor | 710 N Taylor St, Gunnison, CO 81230 | 2006-07-10 |
| 1447282843 | Brenda Creitz | Nurse Anesthetist, Certified Registered | 112 W. Spencer, Suite A, Denver, CO 81230 | 2006-07-07 |
| 1225073992 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 880 N Main St, Gunnison, CO 81230 | 2006-06-18 |
| 1235114018 | Sherry L Niccoli | Obstetrics & Gynecology | 234 N Main, Ste 2c, Gunnison, CO 81230 | 2005-12-14 |
| Find all providers in zip 81230 | ||||
| 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 |
|---|---|---|---|---|
| 1063986685 | Emily Parsons LLC | Physical Therapist | 1613 W Tomichi Ave, Gunnison, CO 81230-3712 | 2019-01-16 |
| 1962976936 | Erin Kelly | Physical Therapist | 718 N Main St Unit 18, Gunnison, CO 81230-2412 | 2019-01-14 |
| 1194208140 | Hana Sophia Bucholz | Physical Therapist | 112 W Spencer Ave Ste C, Gunnison, CO 81230-2546 | 2018-09-14 |
| 1124313507 | Matthew Brian Barney | Physical Therapist | 13 E Center St, Gunnison, UT 84634 | 2011-06-14 |
| 1508072885 | Trent M Ezzell | Physical Therapist | 718 N Main St, Unit # 18, Gunnison, CO 81230-2412 | 2007-05-15 |
| 1326092339 | Derek C Overly | Physical Therapist | 13 East Center, Gunnison, UT 84634-0396 | 2006-05-22 |
| 1871110882 | Stacey Kristine Heronema | Physical Therapist | 718 N Main St Unit 18, Gunnison, CO 81230-2412 | 2020-06-26 |
| 1093349839 | Emilie Whittemore | Physical Therapist | 718 N Main St, Gunnison, CO 81230-2412 | 2020-03-02 |
| 1164060240 | Elizabeth Jane Anderson | Physical Therapist | 13 E Center St, Gunnison, UT 84634 | 2019-12-19 |
| 1225542418 | Brittany Leafe | Physical Therapist | 718 N Main St, Gunnison, CO 81230-2412 | 2017-11-27 |
| Find all providers in GUNNISON | ||||
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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.