DR. LYDDIA REVELL DSC
NPI 1275982092
Occupational Therapist in Jbsa Ft Sam Houston, TX

Active since June 13, 2016
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234(262) 501-9788 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 1, 2023, Oct 7, 2019, Jun 13, 2016 (3 updates tracked since 2016).

About Dr. Lyddia Revell Dsc NPPES

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

DR. LYDDIA REVELL DSC (NPI 1275982092) is an individual occupational therapist in Jbsa Ft Sam Houston, Texas, licensed in Wisconsin (5857-26) and active in the NPI registry since June 2016. She maintains a secondary practice location in La Crosse.

NPPES Registry Identity

NPI1275982092
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameDR. LYDDIA REVELLCredential: DSC
Location Address3551 ROGER BROOKE DRJbsa Ft Sam Houston, TX 78234
Mailing Address419 Belmont Unit 1San Antonio, TX 78202-3135 · (262) 501-9788
Sole ProprietorNo
Enumeration DateJune 13, 2016
Last NPPES UpdateMay 1, 20233 updates tracked since enumeration
NPPES CertifiedMay 1, 2023
NPI 1275982092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in WI · 5857-26
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
3551 ROGER BROOKE DR, Jbsa Ft Sam Houston, TX 78234

Other Names 1

Former Name (1)Lyddia Petrofsky

Secondary Practice Location 1

Location 11407 Saint Andrew St, Ste 100LA Crosse, WI 54603-3301 · Phone (715) 743-5410

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Physician Assistant
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234
Pediatrics (Pediatric Endocrinology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Neurological Surgery
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Ophthalmology
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234
Emergency Medicine (Emergency Medical Services)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

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 Lyddia Revell's NPI number?

The NPI number for Lyddia Revell is 1275982092. It was assigned to this individual provider in the NPPES registry on June 13, 2016. The provider is also known as Lyddia Petrofsky.

Where is Lyddia Revell located?

Lyddia Revell practices at 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234. The listed phone number is (262) 501-9788.

What is Lyddia Revell's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Lyddia Revell was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.