Revive Care PT and Wellness Center LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

REVIVE CARE PT AND WELLNESS CENTER LLC

Practice address

2147 W 96TH Ave
Crown Point, IN 46307-2034

Phone

(219) 765-0038

NPI assigned

Feb 19, 2025

Organization subpart

No

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

Authorized official

Name

Judith NuerosNPI 1033188867

Title

Owner

Phone

(219) 765-0038

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

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

• Judith D Nueros, PT

  • Physical Therapist
  • Munster, IN
  • NPI 1033188867
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750550400000",
    "number": "1669277919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 W 96TH AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072034",
            "telephone_number": "219-765-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 W 96TH AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072034",
            "telephone_number": "219-765-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE CARE PT AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-06-22",
        "certification_date": "2025-06-22",
        "status": "A",
        "authorized_official_last_name": "NUEROS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-765-0038"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Reising, NP
• Relive Physical Therapy Indiana
• Marina A Renaldi, BA
• Renew Physicians
• Kristopher Renzi, NP
• Maria Reyes
• Arin Richard
• Elijah Richard
• Vincent Ricobene, PT, DPT
• Victoria Riester, PT, DPT

• Physical Therapist in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.