Revival Physical Therapy Inc
LBN: Revival Physical Therapy Inc
Revival Physical Therapy Inc is an health care organization with primary practice located at 2301 Park Ave Ste 1 , Orange Park FL 32073-5565. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Revival Physical Therapy Inc can be contacted via phone (904) 264-3005, or through Garcia, Linzy E. via phone (904) 264-3005.
Contact Information
Primary practice address
2301 Park Ave Ste 1
Orange Park FL 32073-5565
Phone: (904) 264-3005
Fax: (904) 264-0012
Website:
Authorized official contact:
Name: Garcia, Linzy E. Registered Physical Therapist (RPT)
Phone: (904) 264-3005
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1841243359 |
|---|---|
| LBN Legal business name | Revival Physical Therapy Inc |
| DBA Doing business as | |
| Authorized official | Garcia, Linzy E. Registered Physical Therapist (RPT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Jul 10th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841243359 | NPPES |
| Florida | MEDICAID | 884338400 |
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