Revive Therapy Plus Wellness

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

REVIVE THERAPY PLUS WELLNESS

Practice address

629 SW 89TH St.
Oklahoma City, OK 73139-9337

Phone

(405) 493-9955

Fax

(405) 682-2488

NPI assigned

Mar 17, 2021

Organization subpart

No

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

Authorized official

Name

Sarah Hendrix

Title

Occupational Therapist

Phone

(405) 493-9955

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Shaellen Elizabeth Flora

  • Occupational Therapy Assistant
  • Oklahoma City, OK
  • NPI 1750059069
  NPD

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1982289260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 SW 89TH ST.",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399337",
            "telephone_number": "405-493-9955",
            "fax_number": "405-682-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 SW 89TH ST.",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399337",
            "telephone_number": "405-493-9955",
            "fax_number": "405-682-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE THERAPY PLUS WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "405-493-9955"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revive Hormone Clinic PLLC
• Revive Infusion
• Revive Medical LLC
• Revive Medical Urgent Care LLC
• Revive Performance, Inc.
• Darnell Rex, MS
• Stephanie Rex
• Jr Rey
• Marvic Rey
• Ashley Ariana Reyes de Leon, BD

• Family Medicine Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.