Revive Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

REVIVE PHYSICAL THERAPY

Practice address

160 NW Gilman Blvd Ste 304
Issaquah, WA 98027-2549

Phone

(678) 429-6435

NPI assigned

Aug 13, 2021

Last updated

Aug 13, 2021By 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

Meenakshi Singh, PTNPI 1861784654

Title

Clinic Owner

Phone

(678) 429-6435

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Meenakshi Singh

  • Physical Therapist
  • Sammamish, WA
  • NPI 1861784654
  NPD Authorized official

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1629743364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 NW GILMAN BLVD STE 304",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272549",
            "telephone_number": "678-429-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NW GILMAN BLVD STE 304",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272549",
            "telephone_number": "678-429-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "MEENAKSHI",
        "authorized_official_title_or_position": "CLINIC OWNER",
        "authorized_official_telephone_number": "678-429-6435",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aislinn Tercie-Jeness Rennison, DACM
• Lisa A. Rensberger, PA-C
• Resilient Connections, PLLC (Janet Moczulewski)
• Violet S Resnick, LICSW
• Revere Home Care
• Anthony Kain Reyes
• Maria Coleen Ochoa Reyes, PHARMD
• Molly Kay Reyes, LMT
• Richard Calvo DDS PLLC
• Lisa Gail Richards, OTR

• Physical Therapist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.