Revive & Rehab Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

REVIVE & REHAB PHYSICAL THERAPY

Practice address

744 S Columbia Dr
West Columbia, TX 77486-3030

Phone

(979) 236-6908

NPI assigned

Nov 7, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alise Terry Driggers, DPTNPI 1417664426

Title

Owner/Manager

Phone

(979) 236-6908

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alise Terry Driggers, DPT

  • Physical Therapist
  • West Columbia, TX
  • NPI 1417664426
  Medicare reassignment NPD Authorized official
• Hailey Dieringer, PTA

  • Physical Therapy Assistant
  • West Columbia, TX
  • NPI 1346923968
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670112000000",
    "number": "1043928393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4687 COUNTY ROAD 356",
            "city": "BRAZORIA",
            "state": "TX",
            "postal_code": "774228108",
            "telephone_number": "979-236-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 S COLUMBIA DR",
            "city": "WEST COLUMBIA",
            "state": "TX",
            "postal_code": "774863030",
            "telephone_number": "979-236-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE & REHAB PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-12-04",
        "certification_date": "2022-12-04",
        "status": "A",
        "authorized_official_last_name": "DRIGGERS",
        "authorized_official_first_name": "ALISE",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "979-236-6908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura M Pena, MSN, APRN, FNP-BC
• Sabrina Phillips Garrison, P.A.
• Uzma Rahat, M.D
• Juan Ramirez Jr., D.C.
• Melissa Reid, RDN
• Alfred Ricks Jr., M.D.
• Kalyn Janece Riley, DDS
• Robert L. Coburn, D.C.,P.C.
• Carolyn Schneider
• Paula Seiler

• Physical Therapy Clinic/Center in West Columbia, TX
• Providers in West Columbia, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.