Revival Physical Therapy, Llc

LBN: Revival Physical Therapy, Llc
Revival Physical Therapy, Llc is an health care organization with primary practice located at 4116 Swindon Ct , Charlotte NC 28215-5355. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as the primary health care specialty. Revival Physical Therapy, Llc can be contacted via phone (980) 230-3276, or through Montemayor, Mitchell Samonte via phone (980) 276-3066.

Contact Information

Primary practice address
4116 Swindon Ct Charlotte NC 28215-5355
Phone: (980) 230-3276
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Montemayor, Mitchell Samonte Physical Therapist (PT)
Phone: (980) 276-3066

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2081H0002X

Profile Details

NPI number 1518526953
LBN Legal business name Revival Physical Therapy, Llc
DBA Doing business as
Authorized official Montemayor, Mitchell Samonte Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2019
Last updated Jun 10th, 2019 - about 6 years ago

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.

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