Revive Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

REVIVE THERAPY LLC

Practice address

336 State St Ste 2-3
North Haven, CT 06473-3170

Phone

(203) 745-4973

NPI assigned

Mar 15, 2019

Last updated

Dec 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ernest Santoro III, DPT

Title

DPT/Owner

Phone

(203) 980-8166

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 4

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.

• Chandler L Butcher, DPT

  • Physical Therapist
  • Branford, CT
  • NPI 1205420742
  Medicare reassignment Care Compare group NPD
• Ernest F Santoro, PT

  • Physical Therapist
  • North Haven, CT
  • NPI 1447551403
  Medicare reassignment Care Compare group NPD
• Christopher John Stankiewicz Jr.

  • Physical Therapist
  • North Haven, CT
  • NPI 1205499266
  Medicare reassignment NPD
• Michael Patrick Mulryan, PT

  • Physical Therapist
  • Fair Lawn, NJ
  • NPI 1548076300
  NPD

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1528527942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 QUINNIPIAC AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733344",
            "telephone_number": "203-980-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 STATE ST STE 2-3",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733170",
            "telephone_number": "203-745-4973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462-470 Washington Ave",
            "address_2": "Units 1-3",
            "address_purpose": "LOCATION",
            "city": "North Haven",
            "state": "CT",
            "postal_code": "064731311",
            "country_code": "US",
            "telephone_number": "203-980-8166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "67 N Branford Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Branford",
            "state": "CT",
            "postal_code": "064052852",
            "country_code": "US",
            "telephone_number": "203-980-8166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REVIVE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "SANTORO III",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "DPT/OWNER",
        "authorized_official_telephone_number": "203-980-8166",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chanel Rice, LPC
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• Catherine Rives

• Physical Therapy Clinic/Center in North Haven, CT
• Providers in North Haven, CT by specialty
• Physical Therapy Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.