Revitalize Rehab PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

REVITALIZE REHAB PLLC

Practice address

43 Hillcrest Cir
Westfield, MA 01085-1871

Phone

(413) 563-8566

NPI assigned

Aug 23, 2022

Organization subpart

No

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

Authorized official

Name

Hasaan Khawaja, DPTNPI 1306411079

Title

Owner

Phone

(413) 563-8566

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 4

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

• Hasaan Khawaja, DPT

  • Physical Therapist
  • Westfield, MA
  • NPI 1306411079
  Medicare reassignment Care Compare group NPD Authorized official
• Joseph Mull, DPT

  • Physical Therapist
  • Belchertown, MA
  • NPI 1730911926
  Medicare reassignment Care Compare group NPD
• Kristin Pino

  • Occupational Therapist
  • Trumbull, CT
  • NPI 1124630090

  MA

  Medicare reassignment Care Compare group NPD
• Robert William Burns IV, OTR

  • Occupational Therapist
  • Westfield, MA
  • NPI 1184386013

  Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1801515820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 HILLCREST CIR",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851871",
            "telephone_number": "413-563-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 HILLCREST CIR",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851871",
            "telephone_number": "413-563-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVITALIZE REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "KHAWAJA",
        "authorized_official_first_name": "HASAAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-563-8566",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Reis, LICSW
• Paige Fleming Reisman
• Jessica Renaud
• Norma Reppucci
• Revitalize Chiropractic & Sports Rehab
• Jasmin Marie Reyes
• Victoria Reyes
• George E Reynolds, MD
• Jessica Reynolds, BA
• Lance David Reynolds, MD

• Physical Therapist in Westfield, MA
• Providers in Westfield, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.