Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CORE REVIVE PHYSICAL THERAPY AND WELLNESS (IS THE DBA, JACKIE KICKISH LLC)
Active OrganizationCORE REVIVE PHYSICAL THERAPY AND WELLNESS (IS THE DBA, JACKIE KICKISH LLC) is a Physical Therapy Assistant organization located in MASON, Ohio. NPI 1245100627 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MASON, OH
Registration Details
- NPI Number
- 1245100627
- Provider Type
- Organization
- NPI Issued
- Nov 10, 2025 (0.78606998189745 yrs)
- Last Updated
- Nov 10, 2025
Practice Information
- Address
-
6577 HERRON CTMASON, OH, 450409392Browse OH providers · Browse ZIP 45040
- Phone
- 5139179418
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Organizations in MASON, OH
| Name | NPI |
|---|---|
| PREMIER REHAB, LLC | 1649222886 |
| OXFORD PHYSICAL THERAPY AND REHABILITATION | 1326126061 |
| PROFESSIONAL PHYSICAL THERAPY SERVICES, INC | 1790804326 |
| SCI-STEP, INC. | 1003029117 |
| PATRIOT OUTPATIENT THERAPY, LLC | 1609672658 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.