Revival Rehab PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070006996 Issued in IL

Legal business name

REVIVAL REHAB PC

Practice address

1701 Caton Ridge Dr
Plainfield, IL 60544-5635

Phone

(708) 323-7608

Fax

(708) 286-6461

NPI assigned

Oct 7, 2010

Last updated

Oct 7, 2010By 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

Medhat BadrNPI 1427128271

Title

President

Phone

(708) 323-7608

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

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.

• Medhat Badr

  • Physical Therapist
  • Plainfield, IL
  • NPI 1427128271
  NPD (past) Authorized official
• Sherif Diab

  • Physical Therapist
  • Orland Park, IL
  • NPI 1316256688
  NPD (past)
• Emad Elhalawany

  • Physical Therapist
  • Plainfield, IL
  • NPI 1164731378
  NPD (past)

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1750690855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 CATON RIDGE DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445635",
            "telephone_number": "708-323-7608",
            "fax_number": "708-286-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CATON RIDGE DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445635",
            "telephone_number": "708-323-7608",
            "fax_number": "708-286-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVAL REHAB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "BADR",
        "authorized_official_first_name": "MEDHAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-323-7608"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070006996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF IL  070006996",
            "identifier": "070006996",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Renzi, PSYD
• Michelle Anne Reroma
• Restorative Psychiatry Inc.
• Restore Health and Wellness PC
• Molly Margaret Revis, PA-C
• Yazmine Reynolds
• Rezin Orthopedic and Sports Medicine (Vital Care Physical Therapy)
• Rezin Orthopedics and Sports Medicine, SC (Vital Care Physical Therapy)
• Maureen Rich, DT
• Curtis Richardson

• Physical Therapist in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.