Revive Physical Therapy And Wellness, Pllc

LBN: Revive Physical Therapy And Wellness, Pllc
Revive Physical Therapy And Wellness, Pllc is an health care organization with primary practice located at 4703 S Lakeshore Dr Ste 2 , Tempe AZ 85282. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Revive Physical Therapy And Wellness, Pllc can be contacted via phone (480) 718-9493, or through Monterrey, Dayna via phone (480) 718-9493.

Contact Information

Primary practice address
4703 S Lakeshore Dr Ste 2 Tempe AZ 85282
Phone: (480) 718-9493
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Monterrey, Dayna
Phone: (480) 718-9493

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 9950 Arizona

Profile Details

NPI number 1689059917
LBN Legal business name Revive Physical Therapy And Wellness, Pllc
DBA Doing business as
Authorized official Monterrey, Dayna
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2015
Last updated Jun 4th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689059917 NPPES
Arizona MEDICAID 734323

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