Revive Performance & Rehab, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

REVIVE PERFORMANCE & REHAB, LLC

Practice address

102 W Washington St
PO Box 485
Saint Francis, KS 67756-0013

Phone

(308) 352-6698

NPI assigned

Nov 5, 2025

Last updated

Dec 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mackenzie Lampe, PT, DPTNPI 1528937620

Title

Physical Therapist

Phone

(308) 352-6698

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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, and the practitioner matching its NPPES authorized official.

• Mackenzie Hite Lampe, PT, DPT

  • Physical Therapist
  • Saint Francis, KS
  • NPI 1528937620
  Medicare reassignment NPD Authorized official
• Sarah Guthmiller, PTA

  • Physical Therapy Assistant
  • Saint Francis, KS
  • NPI 1972468445
  NPD

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1730059759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W WASHINGTON ST",
            "address_2": "PO BOX 485",
            "city": "SAINT FRANCIS",
            "state": "KS",
            "postal_code": "677560013",
            "telephone_number": "308-352-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W WASHINGTON ST",
            "address_2": "PO BOX 485",
            "city": "SAINT FRANCIS",
            "state": "KS",
            "postal_code": "677560013",
            "telephone_number": "308-352-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE PERFORMANCE & REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "LAMPE",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "308-352-6698",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Peterson
• Brett Tyson Poling, D.C.
• Tim Elden Poling, DDS
• Kristle E Raile, PA
• Tyler M Raile, PA
• Kris Delynn Rice, LICENSED CLINICAL SO
• Jonathan Michael Riddell, PTA
• Sabahuddin Shrinzada, DO
• St. Francis Community Schools Usd 297
• Patrick Relaford Stuart, DC

• Physical Therapist in Saint Francis, KS
• Providers in Saint Francis, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.