Revive Therapy in Gillette, WY - Medicare Occupational Therapist Provider

Revive Therapy is a medicare enrolled "Occupational Therapist" provider in Gillette, Wyoming. Their current practice location is 51 Town Center Dr Ste 110, Gillette, Wyoming. You can reach out to their office (for appointments etc.) via phone at (307) 622-1242.

Revive Therapy is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Revive Therapy is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1730711060.

Contact Information

	Revive Therapy
	51 Town Center Dr Ste 110, Gillette, WY 82718-5521
	(307) 622-1242
	(307) 333-0375

Map and Direction

Healthcare Provider's Profile

Full Name	Revive Therapy
Type	Facility
Speciality	Occupational Therapist
Location	51 Town Center Dr Ste 110, Gillette, Wyoming
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730711060
Provider Enumeration Date: 02/05/2020
Last Update Date: 03/29/2022

Medicare PECOS Information:

PECOS PAC ID: 8022449214
Enrollment ID: O20200501001819

Medical Identifiers

Medical identifiers for Revive Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730711060	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Revive Therapy acts as a billing entity for following providers:

Provider Name	Traci Marie Smith
Provider Type	Practitioner - Occupational Therapist In Private Practice
Provider Identifiers	NPI Number: 1194912428 PECOS PAC ID: 1759712946 Enrollment ID: I20200501001864

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Revive Therapy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Revive Therapy Po Box 2106, Gillette, WY 82717-2106 Ph: (307) 622-1242	Revive Therapy 51 Town Center Dr Ste 110, Gillette, WY 82718-5521 Ph: (307) 622-1242

Reviews and Comments

Occupational Therapist in Gillette, WY

Emmy Louann O'connell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1211 S Douglas Hwy Ste 100, Gillette, WY 82716 Phone: 307-670-9191
Kalin Hale, OTD, OTR/L, CEES Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1013 E Boxelder Rd Ste 100, Gillette, WY 82718 Phone: 307-682-4900
Lindsey Ann Hall, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1211 S Douglas Hwy, Suite 130, Gillette, WY 82716 Phone: 307-763-1650
Lauren Mullaney, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 508 Stocktrail Ave Ste D, Gillette, WY 82716 Phone: 307-688-8000
Mrs. Anni Jean Stafford, MOTR L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1211 S Douglas Hwy Ste 100, Gillette, WY 82716 Phone: 307-670-9191 Fax: 307-670-9193
Ashley Rogers, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1211 S Douglas Hwy Ste 100, Gillette, WY 82716 Phone: 307-670-9191
Shayna Rae Carpenter, MOTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1211 S Douglas Hwy Ste 100, Gillette, WY 82716 Phone: 307-670-9191

Revive Therapy - Medicare Occupational Therapist in Gillette, WY