1689059917 NPI number — REVIVE PHYSICAL THERAPY AND WELLNESS, PLLC

Table of content: (NPI 1689059917)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689059917 NPI number — REVIVE PHYSICAL THERAPY AND WELLNESS, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REVIVE PHYSICAL THERAPY AND WELLNESS, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689059917
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/04/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4703 S LAKESHORE DR STE 2
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TEMPE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85282-7159
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-718-9493
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4703 S LAKESHORE DR STE 2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TEMPE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85282
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-718-9493
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/28/2015

Additional Information

Authorized Official

Authorized Official Last Name:
MONTERREY
Authorized Official First Name:
DAYNA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNE
Authorized Official Telephone Number:
480-718-9493

Provider Taxonomy Codes

  • Taxonomy code: 261QP2000X , with the licence number:  9950 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 734323 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".




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