Revive Physical Therapy Llc is a medicare enrolled "Clinic/center - Physical Therapy" provider in West Palm Beach, Florida. Their current practice location is
2151 45th Street, Suite 104, West Palm Beach, Florida. You can reach out to their office (for appointments etc.) via phone at
(561) 247-7337.
Revive Physical Therapy Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Revive Physical Therapy Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1437810546.
Healthcare Provider's Profile
| Full Name | Revive Physical Therapy Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 2151 45th Street, West Palm Beach, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1437810546
- Provider Enumeration Date: 01/02/2022
- Last Update Date: 06/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587044789
- Enrollment ID: O20220706001352
Medical Identifiers
Medical identifiers for Revive Physical Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1437810546 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Revive Physical Therapy Llc acts as a billing entity for following providers:
| Provider Name | Sunita Sharma |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1437265899
PECOS PAC ID: 8820062227
Enrollment ID: I20040823000316 |
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| Provider Name | Blaire Stanley |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1447546577
PECOS PAC ID: 3072762541
Enrollment ID: I20120927000674 |
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| Provider Name | Samantha R Kershen |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1881287647
PECOS PAC ID: 4486061728
Enrollment ID: I20210401002024 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Revive Physical Therapy Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Revive Physical Therapy Llc
2151 45th Street, Suite 104,
West Palm Beach, FL 33407-2028
Ph: (561) 247-7337 | Revive Physical Therapy Llc
2151 45th Street, Suite 104,
West Palm Beach, FL 33407-2028
Ph: (561) 247-7337 |
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