Revival Physical Therapy and Wellness

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

REVIVAL PHYSICAL THERAPY AND WELLNESS

Practice address

4123 W Broadway Ave
Robbinsdale, MN 55422-1808

Phone

(612) 605-7594

NPI assigned

Feb 12, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Britton, DPTNPI 1376029751

Title

Co-Owner, Physical Therapist

Phone

(952) 220-3105

Specialties & licenses 1

Addresses

Practitioners 2

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

• Benjamin Welch Britton, PT

  • Physical Therapist
  • Coon Rapids, MN
  • NPI 1376029751
  NPD Authorized official
• Margaret Germscheid

  • Physical Therapist
  • Robbinsdale, MN
  • NPI 1841054434
  NPD

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1730943424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11630 IDAHO AVE N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553162894",
            "telephone_number": "952-220-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 W BROADWAY AVE",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554221808",
            "telephone_number": "612-605-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVAL PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "BRITTON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CO-OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "952-220-3105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anika Catherine Reinsch
• Heath Russell Renner, PA-C
• Logan Renninger, PAC
• Rescare Minnesota, Inc.
• Respiratory Consultants PA
• Karen Elaine Riley, PA
• Rio Dialysis LLC (Robbinsdale Dialysis)
• Rising Legacy Home Health LLC.
• Rising Sun Healing Arts
• Beth Ristow

• Physical Therapy Clinic/Center in Robbinsdale, MN
• Providers in Robbinsdale, MN by specialty
• Physical Therapy Clinic/Center in Minnesota

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