REFORM REHAB LLC
NPI 1063375111
Physical Therapist in Melissa, TX

Active since December 05, 2025
2815 DIAMONDBACK DR, MELISSA, TX 75454(318) 452-4514 Get Directions Write a Review

NPPES record last updated: January 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 10, 2026, Dec 16, 2025, Dec 5, 2025 (3 updates tracked since 2025).

About Reform Rehab Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REFORM REHAB LLC (NPI 1063375111) is a healthcare organization registered as a physical therapist in Melissa, Texas and active in the NPI registry since December 2025. The organization lists Tyler Michot, Doctor Of Physical Therapy, as its authorized official.

NPPES Registry Identity

NPI1063375111
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameREFORM REHAB LLC
Location Address2815 DIAMONDBACK DRMelissa, TX 75454-0539
Mailing Address2815 Diamondback DrMelissa, TX 75454-0539 · (318) 452-4514
Organization SubpartNo
Authorized OfficialTyler MichotDoctor Of Physical Therapy · (318) 452-4514
Enumeration DateDecember 5, 2025
Last NPPES UpdateJanuary 10, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2026
✔ NPI 1063375111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
2815 DIAMONDBACK DR, Melissa, TX 75454

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reform Rehab Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Reform Rehab LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1679391916
2815 DIAMONDBACK DR
Melissa, TX 75454
(318) 452-4514
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reform Rehab LLC's NPI number?

The NPI number for Reform Rehab LLC is 1063375111. It was assigned to this organization in the NPPES registry on December 5, 2025.

Where is Reform Rehab LLC located?

Reform Rehab LLC is located at 2815 Diamondback Dr, Melissa, TX 75454. The listed phone number is (318) 452-4514.

What is Reform Rehab LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Reform Rehab LLC enrolled in Medicare?

Yes. Reform Rehab LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Reform Rehab LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Reform Rehab LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Reform Rehab LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Reform Rehab LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Reform Rehab LLC was last updated on January 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.