Revival Physical Therapy and Rehab

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

REVIVAL PHYSICAL THERAPY AND REHAB

Practice address

401 Omni Dr
Hillsborough, NJ 08844-4527

Phone

(980) 213-1509

NPI assigned

Sep 12, 2024

Organization subpart

No

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

Authorized official

Name

Bhakti DongreNPI 1649620444

Title

Director

Phone

(980) 213-1509

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Bhakti Dongre

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1649620444

  NJ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1649006818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 OMNI DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 OMNI DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444527",
            "telephone_number": "980-213-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVAL PHYSICAL THERAPY AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "DONGRE",
        "authorized_official_first_name": "BHAKTI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "980-213-1509"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie C. Real, PT
• Cynthia Lynn Reget-Goldberg, L.C.S.W.
• Ronald A Reiss, MD
• Rem New Jersey, Inc.
• Revival Chiropractic LLC
• James Reynolds, PHD
• Amira A Riad, D.M.D.
• John Ricciardi, M. A., CCC-SLP
• Richard Corson MD LLC
• Richard M Nadler, DMD,PA

• Physical Therapy Clinic/Center in Hillsborough, NJ
• Providers in Hillsborough, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.