Revive Orthopedic and Spinal Therapy

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

REVIVE ORTHOPEDIC AND SPINAL THERAPY

Practice address

7545 Fredle Dr
Concord Township, OH 44077-9406

Phone

(440) 357-1717

Fax

(440) 357-5252

NPI assigned

Oct 18, 2021

Organization subpart

No

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

Authorized official

Name

Graham A Kuta, PTNPI 1245493154

Title

Tax Id Owner

Phone

(440) 357-1717

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 5

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

• Graham Kuta, P.T.

  • Physical Therapist
  • Concord Township, OH
  • NPI 1245493154
  Medicare reassignment Care Compare group NPD Authorized official
• Alyson M Dondorfer, PT

  • Physical Therapist
  • Mentor, OH
  • NPI 1295752871
  Medicare reassignment Care Compare group NPD
• Samantha Nicole Salatino

  • Physical Therapist
  • Mantua, OH
  • NPI 1427857036
  Medicare reassignment Care Compare group NPD
• Danielle Kate Jolliff, P.T.

  • Physical Therapist
  • Solon, OH
  • NPI 1487841268
  Medicare reassignment NPD
• Cherie Ann Kuta, PT

  • Physical Therapist
  • Concord Township, OH
  • NPI 1679271266

  Physical Medicine & Rehabilitation

  Medicare reassignment NPD

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1437812484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7545 FREDLE DR",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440779406",
            "telephone_number": "440-357-1717",
            "fax_number": "440-357-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 FREDLE DR",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440779406",
            "telephone_number": "440-357-1717",
            "fax_number": "440-357-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE ORTHOPEDIC AND SPINAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "KUTA",
        "authorized_official_first_name": "GRAHAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "TAX ID OWNER",
        "authorized_official_telephone_number": "440-357-1717",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lanna M Pastor
• Michelle Lee Patterson, CRNA
• Paige Paystrup
• Anastasia M Pintur, MD
• Lori Jean Radwancky, PRS
• Angela Robison
• Amanda Sackett, RCPC
• Shaina S Sahal-Green, PHARMD
• Joseph Saxon, DPM
• James J Schulte, M.D.

• Physical Medicine & Rehabilitation Physician in Concord Township, OH
• Providers in Concord Township, OH by specialty
• Physical Medicine & Rehabilitation Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.