Organization Active NPI

Relive Rehab, LLC

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1902281793
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RELIVE REHAB, LLC
Practice address
3999 E Harry St
Wichita, KS 67218-3723
Phone
(316) 295-4591
Fax
(316) 295-4713
NPI assigned
Jul 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Meredith R Hacking-Young, SLP-CCC
Title
Owner
Phone
(316) 295-4591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3999 E Harry St
Wichita, KS 67218-3723

Mailing address

3999 E Harry St
Wichita, KS 67218-3723
Phone (316) 295-4591

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1902281793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3999 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183723",
            "telephone_number": "316-295-4591",
            "fax_number": "316-295-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183723",
            "telephone_number": "316-295-4591",
            "fax_number": "316-295-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIVE REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "HACKING-YOUNG",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-295-4591",
        "authorized_official_credential": "SLP-CCC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.