OrganizationActive
Reform Rehab LLC
NPI 1063375111 · Physical Therapist · Melissa, TX
Provider details
- NPI number
- 1063375111
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Tyler Michot, Doctor of Physical Therapy(318) 452-4514
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2815 Diamondback Dr
Melissa, TX 75454-0539
Phone: (318) 452-4514
Street-level locationGet directions
Mailing address
2815 Diamondback Dr
Melissa, TX 75454-0539
Registry dates
- Enumerated
- 2025-12-05
- Last updated
- 2026-01-10
- Certified
- 2026-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.