Revive Therapeutic Center

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

REVIVE THERAPEUTIC CENTER

Practice address

18216 Preston Rd Ste B-3
Dallas, TX 75252-5412

Phone

(813) 856-6029

NPI assigned

Oct 4, 2025

Organization subpart

No

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

Authorized official

Name

Kyra Azelia McMillanNPI 1063244895

Title

Licensed Massage Therapist

Phone

(813) 885-6029

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kyra Azelia McMillan

  • Massage Therapist
  • Dallas, TX
  • NPI 1063244895
  NPD Authorized official

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

{
    "created_epoch": "1759536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759536000000",
    "number": "1457225161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 HANSELL RD APT 6313",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244217",
            "telephone_number": "813-856-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18216 PRESTON RD STE B-3",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525412",
            "telephone_number": "813-856-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE THERAPEUTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-04",
        "last_updated": "2025-10-04",
        "certification_date": "2025-10-04",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "KYRA",
        "authorized_official_middle_name": "AZELIA",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "813-885-6029"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revision Counseling Services
• Revival Dermatology PLLC
• Revival Homecare of Dallas, Inc.
• Revive Health
• Revive PCMS Highland Park PLLC
• Revive to Thrive Wellness Center, PLLC
• Revive Whole Life Solutions LLC
• Revivify Revenue Cycle Consulting LLC
• Revivo Medical PA
• Revolution Monitoring

• Massage Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.