Rehab and Revive Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

35795 Issued in CA

Legal business name

REHAB AND REVIVE PHYSICAL THERAPY

Practice address

3002 Dow Ave Ste 506
Tustin, CA 92780-7237

Phone

(714) 900-3880

Fax

(714) 731-0932

NPI assigned

Sep 24, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Justin Lin, DPT

Title

Executive Director

Phone

(714) 900-3880

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1033460589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 DOW AVE STE 506",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807237",
            "telephone_number": "714-900-3880",
            "fax_number": "714-731-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 DOW AVE STE 506",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807237",
            "telephone_number": "714-900-3880",
            "fax_number": "714-731-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB AND REVIVE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "714-900-3880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "35795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Recovercare, LLC
• Recovery Homes of America Inc (Cornerstone of Southern California)
• Redhill Medical Center Inc
• Janell Rees, BCABA
• Shonte Reeves, LCSW
• Rehab and Revive Physical Therapy Inc.
• Ruth H Reich Chandler, RDHAP, RDH
• Carmalisa Kristelle Reichhart
• Janell D'Anne Reid, AUD
• Daner R Reider, M.D.

• Physical Therapist in Tustin, CA
• Providers in Tustin, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.