REVIVE PHYSICAL THERAPY AND WELLNESS, PLLC (NPI# 1689059917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689059917 |
| Entity Type | Organization |
| Organization Name | REVIVE PHYSICAL THERAPY AND WELLNESS, PLLC |
| Practice Address |
4703 S Lakeshore Dr Ste 2 Tempe AZ 85282 |
| Mailing Address |
4703 S Lakeshore Dr Ste 2 Tempe AZ 85282-7159 |
| Practice Telephone | 4807189493 |
| Mailing Telephone | 4807189493 |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2018-06-04 |
| Authorized Official Name | DAYNA MONTERREY (OWNE) |
| Authorized Official Telephone | 4807189493 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
9950 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 734323 | 05 |
| Street Address |
4703 S LAKESHORE DR STE 2 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396093084 | Saeed Monterrey | Physical Therapist | 4703 S Lakeshore Dr Ste 2, Tempe, AZ 85282 | 2012-08-28 |
| 1932769668 | Andres Meza | Physical Therapist | 4703 S Lakeshore Dr Ste 2, Tempe, AZ 85282-7159 | 2019-06-14 |
| 1811412778 | Dalton Derthick | Physical Medicine & Rehabilitation | 4703 S Lakeshore Dr Ste 2, Tempe, AZ 85282-7159 | 2017-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| Find all providers in zip 85282 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760025621 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1700 E Elliot Rd Ste 16, Tempe, AZ 85284-1650 | 2019-10-23 |
| 1326691742 | Excel Sports Performance and Rehabilitation, LLC | Clinic/Center | 1828 E University Dr Ste 1, Tempe, AZ 85281-4275 | 2019-07-24 |
| 1932439031 | Physical Therapy of Tempe | Clinic/Center | 1030 E Baseline Rd Ste 178, Tempe, AZ 85283-1371 | 2010-01-12 |
| 1508015462 | Next Level Physical Therapy LLC | Clinic/Center | 4820 S Ash Ave, Suite 101, Tempe, AZ 85282-6733 | 2008-09-16 |
| 1649485723 | Usa Aquatic Fitness, Inc. | Clinic/Center | 209 E Baseline Rd, Suite E101, Tempe, AZ 85283-1269 | 2007-05-11 |
| 1639187313 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 950 West Southern Avenue, Tempe, AZ 85282-4512 | 2006-08-04 |
| 1083667729 | Physiotherapy Associates | Clinic/Center | 1025 E Broadway Rd, Suite 201, Tempe, AZ 85282-1599 | 2006-05-17 |
| 1114921871 | Vibrantcare Outpatient Rehabilitation West Inc | Clinic/Center | 4515 S Mcclintock Dr, Ste 110, Tempe, AZ 85282-7381 | 2005-06-10 |
| 1972004687 | Bhsm Rehabilitation, LLC | Clinic/Center | 1729 W Greentree Dr Ste 101, Tempe, AZ 85284-2712 | 2018-02-27 |
| 1730688508 | Occupational Health Centers of The Southwest, P.a. (az) | Clinic/Center | 1626 S Priest Dr Ste 101, Tempe, AZ 85281-6598 | 2018-02-07 |
| Find all providers in TEMPE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.