Core Revive Physical Therapy and Wellness (is the Dba, Jackie Kickish LLC)
NPI 1245100627 · Physical Therapist · Mason, OH
Core Revive Physical Therapy and Wellness (is the Dba, Jackie Kickish LLC) is a Physical Therapist organization in Mason, OH (NPI 1245100627).
Provider details
- NPI number
- 1245100627
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jackie Kickish, Physical Therapist(513) 917-9418
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2025-11-10
- Last updated
- 2025-11-10
- Certified
- 2025-11-10
Frequently asked questions
- What is Core Revive Physical Therapy and Wellness (is the Dba, Jackie Kickish LLC)'s NPI number?
- Core Revive Physical Therapy and Wellness (is the Dba, Jackie Kickish LLC)'s National Provider Identifier (NPI) is 1245100627, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Core Revive Physical Therapy and Wellness (is the Dba, Jackie Kickish LLC)?
- Core Revive Physical Therapy and Wellness (is the Dba, Jackie Kickish LLC) is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Core Revive Physical Therapy and Wellness (is the Dba, Jackie Kickish LLC) located?
- Core Revive Physical Therapy and Wellness (is the Dba, Jackie Kickish LLC)'s practice location on file with NPPES is 6577 Herron Ct, Mason, OH 45040-9392.
- What is Core Revive Physical Therapy and Wellness (is the Dba, Jackie Kickish LLC)'s phone number?
- The practice phone number listed in the NPPES registry for Core Revive Physical Therapy and Wellness (is the Dba, Jackie Kickish LLC) is (513) 917-9418.
- Who is the authorized official for Core Revive Physical Therapy and Wellness (is the Dba, Jackie Kickish LLC)?
- The authorized official listed on Core Revive Physical Therapy and Wellness (is the Dba, Jackie Kickish LLC)'s NPPES record is Jackie Kickish, Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Core Revive Physical Therapy and Wellness (is the Dba, Jackie Kickish LLC)'s NPI active?
- Yes — Core Revive Physical Therapy and Wellness (is the Dba, Jackie Kickish LLC)'s NPI (1245100627) is active in the NPPES registry as of the last update on 2025-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.