NPIMap

Organization Active NPI

Revive Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Spicewood, TX
National Provider Identifier
1942205679
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1105518 Issued in TX
Legal business name
REVIVE PHYSICAL THERAPY INC
Practice address
21122 State Highway 71 W
Unit B
Spicewood, TX 78669-6120
Phone
(512) 264-9981
Fax
(512) 264-9978
NPI assigned
Jun 17, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Nancy Jane Platt, RPTNPI 1225033954
Title
President
Phone
(512) 264-9981

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1105518 TX Primary

Addresses

Primary practice location

21122 State Highway 71 W
Unit B
Spicewood, TX 78669-6120

Mailing address

21122 State Highway 71 W
Unit B
Spicewood, TX 78669-6120
Phone (512) 264-9981

Other identifiers 1

IdentifierTypeStateIssuer
0011KMOtherTXBCBS TX

National Provider Directory

National Provider Directory

Locations

21122 State Highway 71 W
Unit B
Spicewood, TX 78669
Phone (512) 264-9981

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942205679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21122 STATE HIGHWAY 71 W",
            "address_2": "UNIT B",
            "city": "SPICEWOOD",
            "state": "TX",
            "postal_code": "786696120",
            "telephone_number": "512-264-9981",
            "fax_number": "512-264-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21122 STATE HIGHWAY 71 W",
            "address_2": "UNIT B",
            "city": "SPICEWOOD",
            "state": "TX",
            "postal_code": "786696120",
            "telephone_number": "512-264-9981",
            "fax_number": "512-264-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PLATT",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-264-9981",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1105518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "0011KM",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spicewood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.