Organization · Type 2 NPI

Revive Physical Therapy LLC

Physical Therapy Clinic/Center · Centreville, VA

NPI number 1700756475 Active

Practice location

5675 Stone Rd Ste 200
Centreville, VA 20120-1667

Mailing address

23332 Minerva Dr
Brambleton, VA 20148-6877

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Clinic/Center Primary 261QP2000XNone listed

Physical Therapy Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care p…

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About NPI 1700756475

Revive Physical Therapy LLC's National Provider Identifier is 1700756475, issued on Nov 7, 2025. The primary taxonomy on file is Physical Therapy Clinic/Center (261QP2000X), and the practice location is in Centreville, VA. The record was last updated on Nov 9, 2025.