Revive Physical Therapy & Rehabilitation Specialists

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

REVIVE PHYSICAL THERAPY & REHABILITATION SPECIALISTS

Practice address

37 Sherwood Ter Ste 132-133
Lake Bluff, IL 60044-2255

Phone

(224) 212-0624

NPI assigned

Jul 7, 2025

Organization subpart

No

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

Authorized official

Name

Abbey E Edmonds, PT, DPTNPI 1427615988

Title

Owner / Lead Therapists

Phone

(317) 640-5302

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, and the practitioner matching its NPPES authorized official.

• Abbey E Edmonds, DPT

  • Physical Therapist
  • Lake Bluff, IL
  • NPI 1427615988
  NPD Authorized official
• Diane Boquist

  • Physical Therapist
  • Lake Forest, IL
  • NPI 1780088443
  NPD (past)

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1922998368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7687 GAMAY CT",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315621",
            "telephone_number": "317-640-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 SHERWOOD TER STE 132-133",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442255",
            "telephone_number": "224-212-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE PHYSICAL THERAPY & REHABILITATION SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-07",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "EDMONDS",
        "authorized_official_first_name": "ABBEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER / LEAD THERAPISTS",
        "authorized_official_telephone_number": "317-640-5302",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Elizabeth Reed
• Gail Reich
• Deborahanne Reimer, LPC, CADC
• Resources for Change, LTD
• Laurie Retzky
• Annalyse Reyes
• Richard G. Rosenblatt, DMD, P.C. (Forest North Dental)
• Kelsey Morgan Riekena, FNP-BC
• Brianna Camille Rivera
• Bianca Renee Rodriguez

• Physical Therapist in Lake Bluff, IL
• Providers in Lake Bluff, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.