Revive Treatment Center Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

REVIVE TREATMENT CENTER INC

Practice address

1133 E West Hwy Apt 1515W
Silver Spring, MD 20910-6833

Phone

(301) 760-3950

NPI assigned

May 14, 2019

Organization subpart

No

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

Authorized official

Name

Nicholas Orso

Title

Director

Phone

(301) 760-3950

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1861058935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10125 COLESVILLE RD # 137",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209012457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 E WEST HWY APT 1515W",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209106833",
            "telephone_number": "301-760-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE TREATMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "ORSO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-760-3950"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genet Reta
• Surafel Assefa Reta, PHARMD
• Revampfit LLC
• Javier Armando Revelo Mendez Sr., NURSING
• David Labar Rever, D.D.S.
• Farhana Sithey Reyal, M.D
• Stacy Reyes
• Cynthia Reynolds-Temple, OD
• Jonathan Reynolds
• Nima Rezaiyan, D.D.S

• General Practice Physician in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• General Practice Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.