Revitalized Performance, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

REVITALIZED PERFORMANCE, LLC

Practice address

1 Sundial Ave Ste 312
Manchester, NH 03103-7299

Phone

(978) 237-0336

Fax

(978) 748-9229

NPI assigned

Oct 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Danielle Carly Temmen, DPTNPI 1992195689

Title

Owner

Phone

(603) 686-0987

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Danielle Temmen

  • Physical Therapist
  • Manchester, NH
  • NPI 1992195689
  NPD Authorized official
• Francesca Coakley

  • Physical Therapist
  • Manchester, NH
  • NPI 1518833433
  NPD

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728086400000",
    "number": "1861967796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SUNDIAL AVE STE 312",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031037299",
            "telephone_number": "978-237-0336",
            "fax_number": "978-748-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SUNDIAL AVE STE 312",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031037299",
            "telephone_number": "978-237-0336",
            "fax_number": "978-748-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVITALIZED PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2024-10-05",
        "certification_date": "2024-10-05",
        "status": "A",
        "authorized_official_last_name": "TEMMEN",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "CARLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-686-0987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Reopel
• Anthony H Repucci, MD
• Mark Henry Rescino, PH. D., PA-C
• Resilience & Hope LLC
• Maryann Reslow
• Danielle J Revoyr, MS, RDN, LD, CNSC
• Michelle Rey, APRN
• Heather Reyes, LPN
• David B. Reynolds, D. MIN.
• Jessica Y. Rhee, PSY.D.

• Physical Therapist in Manchester, NH
• Providers in Manchester, NH by specialty
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.