Organization Active NPI

Revive Outpatient Services, LLC.

  • Physical Therapist
  • Sterling Heights, MI
National Provider Identifier
1407408198
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REVIVE OUTPATIENT SERVICES, LLC.
Practice address
37824 Van Dyke Ave
Sterling Heights, MI 48312-1840
Phone
(269) 589-9659
Fax
(586) 314-0181
NPI assigned
Jul 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Mr. Kaushik Joshi, RPT, MBA, DPTNPI 1891013926
Title
Owner
Phone
(269) 589-9659

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 Primary

Addresses

Primary practice location

37824 Van Dyke Ave
Sterling Heights, MI 48312-1840

Mailing address

49578 E Central Park
Shelby Township, MI 48317-2412
Phone (269) 589-9659

Other practice location 1

17200 E 10 Mile Rd Ste 135
Eastpointe, MI 48021-3349
Phone (269) 589-9659

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200518000314 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1850722315 Receives reassigned benefits from 2 practitioners
Practice locations: Sterling Heights, MI

National Provider Directory

National Provider Directory

Locations

17200 E 10 Mile Rd
Ste 137
Eastpointe, MI 48021
Phone (269) 589-9659

37824 Van Dyke Ave
Sterling Heights, MI 48312
Phone (269) 589-9659

37824 Van Dyke Ave
Ste A
Sterling Heights, MI 48312

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1407408198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49578 E CENTRAL PARK",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483172412",
            "telephone_number": "269-589-9659",
            "fax_number": "586-314-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37824 VAN DYKE AVE",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483121840",
            "telephone_number": "269-589-9659",
            "fax_number": "586-314-0181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17200 E 10 Mile Rd Ste 135",
            "address_purpose": "LOCATION",
            "city": "Eastpointe",
            "state": "MI",
            "postal_code": "480213349",
            "country_code": "US",
            "telephone_number": "269-589-9659",
            "fax_number": "586-314-0181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REVIVE OUTPATIENT SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-12",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "JOSHI",
        "authorized_official_first_name": "KAUSHIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-589-9659",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT, MBA, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.