NPIMap

Organization Active NPI

Revive Integrative Health LLC.

  • Physical Therapy Clinic/Center
  • Salina, KS
National Provider Identifier
1184387235
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
REVIVE INTEGRATIVE HEALTH LLC.
Practice address
645 E Iron Ave Ste C
Salina, KS 67401-2697
Phone
(785) 577-5736
Fax
(785) 200-3765
NPI assigned
Oct 15, 2021
Last updated
May 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Shayla Trost, PT, DPTNPI 1760868533
Title
Owner/Physical Therapist
Phone
(785) 577-5736

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

645 E Iron Ave Ste C
Salina, KS 67401-2697

Mailing address

645 E Iron Ave Ste C
Salina, KS 67401-2697
Phone (785) 577-5736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221130000986 KS Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1456729193 Receives reassigned benefits from 5 practitioners
Practice locations: Salina, KS

National Provider Directory

National Provider Directory

Locations

1130 E Cloud St
Ste C
Salina, KS 67401
Phone (785) 414-9422

645 E Iron Ave
Ste C
Salina, KS 67401
Phone (785) 414-9422

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1184387235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E IRON AVE STE C",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674012697",
            "telephone_number": "785-577-5736",
            "fax_number": "785-200-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 E IRON AVE STE C",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674012697",
            "telephone_number": "785-577-5736",
            "fax_number": "785-200-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE INTEGRATIVE HEALTH LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "TROST",
        "authorized_official_first_name": "SHAYLA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "785-577-5736",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.