Organization Active NPI

Revive Rehab, LLC

Doing business as Revive Rehab Physical Therapy

  • Physical Therapist
  • Columbia, MO
National Provider Identifier
1952168429
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REVIVE REHAB, LLC
Doing business as
Revive Rehab Physical Therapy
Revive Rehab, LLC
Practice address
2800 Forum Blvd Ste 2
Columbia, MO 65203-5468
Phone
(573) 257-8580
Fax
(855) 710-4225
NPI assigned
Mar 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Authorized official

Name
Dr. Sarah Miller, DPTNPI 1134971849
Title
Physical Therapist
Phone
(660) 247-1043

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2800 Forum Blvd Ste 2
Columbia, MO 65203-5468

Mailing address

2800 Forum Blvd Ste 2
Columbia, MO 65203-5468
Phone (660) 247-1043

Other names 2

  • REVIVE REHAB PHYSICAL THERAPY Doing business as
  • Revive Rehab, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2716 Forum Blvd
Ste 3
Columbia, MO 65203
Phone (573) 257-8580

2800 Forum Blvd
Ste 2
Columbia, MO 65203
Phone (573) 257-8580

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1952168429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 FORUM BLVD STE 2",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035468",
            "telephone_number": "660-247-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 FORUM BLVD STE 2",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035468",
            "telephone_number": "573-257-8580",
            "fax_number": "855-710-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "660-247-1043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REVIVE REHAB PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Revive Rehab, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.