Revive Therapy and Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

REVIVE THERAPY AND WELLNESS LLC

Practice address

1818 Logan Ave
Belvidere, IL 61008-6412

Phone

(815) 575-9887

Fax

(815) 534-1437

NPI assigned

Jan 29, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Shelli Pollard, LCSWNPI 1053786269

Title

Owner/Therapist

Phone

(815) 575-9887

Specialties & licenses 2

Addresses

Other names 1

• Shelli L Pollard LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

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

• Shelli Pollard, LCSW

  • Clinical Social Worker
  • Belvidere, IL
  • NPI 1053786269
  Medicare reassignment NPD Authorized official
• Colleen Noe, D.C.

  • Chiropractor
  • Loves Park, IL
  • NPI 1124389861
  Medicare reassignment
• Alma Padilla, LMT

  • Massage Therapist
  • Belvidere, IL
  • NPI 1588570626
  NPD (past)
• Misty Renee Sturtevant, , LCSW

  • Clinical Social Worker
  • Roswell, NM
  • NPI 1255985693
  NPD (past)

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1780446476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 LOGAN AVE",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610086412",
            "telephone_number": "815-575-9887",
            "fax_number": "815-534-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 LOGAN AVE",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610086412",
            "telephone_number": "815-575-9887",
            "fax_number": "815-534-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "POLLARD",
        "authorized_official_first_name": "SHELLI",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "815-575-9887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelli L Pollard LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Shelli L Pollard LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Alejandra Raya
• Hannah Marie Rehfeldt, PT, DPT, ATC
• Cassandra Susan Reilley, PTA
• Remedies Renewing Lives
• Remedies Renewing Lives
• Lindsey Rockwell
• Rosecrance, Inc.
• Rosecrance, Inc.
• Rosin Optical Co., Inc.
• Anne Cisar Rudd

• Clinical Social Worker in Belvidere, IL
• Providers in Belvidere, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.