Ryan Reveley, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501303321 Issued in MI

Practice address

23800 W 10 Mile Rd Ste 193
Southfield, MI 48033-3194

Phone

(248) 827-1100

Fax

(248) 827-1120

NPI assigned

May 2, 2024

Last updated

Jun 22, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Walk the Line to Sci Recovery IncGroup PAC ID 3072656206, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walk the Line to Sci Recovery, Inc.

  • Physical Therapy Clinic/Center
  • Southfield, MI
  • NPI 1568691020

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1336996842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23800 W 10 MILE RD STE 193",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333194",
            "telephone_number": "248-827-1100",
            "fax_number": "248-827-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23800 W 10 MILE RD STE 193",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333194",
            "telephone_number": "248-827-1100",
            "fax_number": "248-827-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELEY",
        "first_name": "RYAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-02",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Residential Physicians Association, PLLC
• Restorative Counseling Service LLC
• Restorative Counseling Therapeutic Services
• Restore Healing Hands LLC
• Heidi Ret, LMSW
• Vivienne Reviere
• Revival Home Health Care, LLC.
• Revive Restore Consulting Homecare
• Alexandria L Rew
• Reynolds Quality Transportation

• Physical Therapist in Southfield, MI
• Providers in Southfield, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.