Revive Physical Therapy Llc

LBN: Revive Physical Therapy Llc
Revive Physical Therapy Llc is an health care organization with primary practice located at 18019 Sw Lower Boones Ferry Rd , Portland OR 97224. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Revive Physical Therapy Llc can be contacted via phone (503) 691-2723, or through Brook, Kenton Marc via phone (503) 691-2723.

Contact Information

Primary practice address
18019 Sw Lower Boones Ferry Rd Portland OR 97224
Phone: (503) 691-2723
Fax: (503) 692-5406
Website:
Map and Directions
Authorized official contact:
Name: Brook, Kenton Marc
Phone: (503) 691-2723

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X

Profile Details

NPI number 1457819534
LBN Legal business name Revive Physical Therapy Llc
DBA Doing business as
Authorized official Brook, Kenton Marc
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2019
Last updated Mar 7th, 2019 - about 5 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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