NPIMap

Organization Active NPI

Revive Boost Rebuild Physical Therapy LLC

Doing business as RBR PT LLC

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1194192294
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13508 Issued in NC
Legal business name
REVIVE BOOST REBUILD PHYSICAL THERAPY LLC
Doing business as
RBR PT LLC
Practice address
1300 Corporation Pkwy
Ste B
Raleigh, NC 27610-1362
Phone
(919) 917-7729
Fax
(919) 400-4178
NPI assigned
Aug 25, 2015
Last updated
Sep 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Dr. David J Conti, DPTNPI 1174798995
Title
Owner
Phone
(919) 917-7729

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 13508 NC Primary

Addresses

Primary practice location

1300 Corporation Pkwy
Ste B
Raleigh, NC 27610-1362

Mailing address

1300 Corporation Pkwy Ste B
Raleigh, NC 27610-1362
Phone (919) 917-7729

Other names 1

  • RBR PT LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160406000025 NC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5597063602 Receives reassigned benefits from 4 practitioners
Practice locations: Lumberton, NC; Raleigh, NC; Garner, NC

National Provider Directory

National Provider Directory

Locations

200 Bratton Dr
Garner, NC 27529
Phone (919) 917-7729

5121 Veterans Pkwy
Ste 150
Garner, NC 27529
Phone (919) 917-7729

106 Farm Brook Dr
Lumberton, NC 28358
Phone (910) 671-8556

106 Farm Brook Dr
Ste C
Lumberton, NC 28358
Phone (919) 727-9373

1300 Corporation Pkwy
Ste B
Raleigh, NC 27610
Phone (919) 917-7729

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1194192294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CORPORATION PKWY STE B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101362",
            "telephone_number": "919-917-7729",
            "fax_number": "919-400-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CORPORATION PKWY",
            "address_2": "STE B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101362",
            "telephone_number": "919-917-7729",
            "fax_number": "919-400-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE BOOST REBUILD PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "CONTI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-917-7729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "13508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RBR PT LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.