CORE REVIVE PHYSICAL THERAPY AND WELLNESS (IS THE DBA, JACKIE KICKISH LLC)
NPI 1245100627
Physical Therapist in Mason, OH

Active since November 10, 2025
6577 HERRON CT, MASON, OH 45040(513) 917-9418 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Core Revive Physical Therapy And Wellness (is The Dba, Jackie Kickish Llc) NPPES

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

CORE REVIVE PHYSICAL THERAPY AND WELLNESS (IS THE DBA, JACKIE KICKISH LLC) (NPI 1245100627) is a healthcare organization registered as a physical therapist in Mason, Ohio and active in the NPI registry since November 2025. The organization lists Jackie Marie Kickish, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1245100627
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameCORE REVIVE PHYSICAL THERAPY AND WELLNESS (IS THE DBA, JACKIE KICKISH LLC)
Location Address6577 HERRON CTMason, OH 45040-9392
Mailing Address6577 Herron Ct Apt SuiteMason, OH 45040-9392
Organization SubpartNo
Authorized OfficialJackie Marie KickishPhysical Therapist · (513) 917-9418
Enumeration DateNovember 10, 2025
NPPES CertifiedNovember 10, 2025
NPI 1245100627 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.
6577 HERRON CT, Mason, OH 45040

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Core Revive Physical Therapy And Wellness (is The Dba, Jackie Kickish Llc)'s NPI number?

The NPI number for Core Revive Physical Therapy And Wellness (is The Dba, Jackie Kickish Llc) is 1245100627. It was assigned to this organization in the NPPES registry on November 10, 2025.

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) is located at 6577 Herron Ct, Mason, OH 45040. The listed phone number is (513) 917-9418.

What is Core Revive Physical Therapy And Wellness (is The Dba, Jackie Kickish Llc)'s specialty?

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

When was this NPI record last updated?

The NPPES record for Core Revive Physical Therapy And Wellness (is The Dba, Jackie Kickish Llc) was last updated on November 10, 2025. 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.