Revive Performance, Inc.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Legal business name

REVIVE PERFORMANCE, INC.

Practice address

3333 W Hefner Rd
Oklahoma City, OK 73120-5060

Phone

(405) 237-5941

Fax

(405) 237-5941

NPI assigned

Feb 2, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Clark, LAT, ATCNPI 1518458611

Title

Owner, Athletic Trainer

Phone

(405) 778-4088

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ryan Alexander Clark, LAT, ATC

  • Athletic Trainer
  • Oklahoma City, OK
  • NPI 1518458611
  NPD Authorized official

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

{
    "created_epoch": "1769990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1932059631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 SW 129TH CT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731738882",
            "telephone_number": "405-237-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W HEFNER RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205060",
            "telephone_number": "405-237-5941",
            "fax_number": "405-237-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE PERFORMANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-01",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER, ATHLETIC TRAINER",
        "authorized_official_telephone_number": "405-778-4088",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAT, ATC"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revive Health Services
• Revive Hormone Clinic PLLC
• Revive Infusion
• Revive Medical LLC
• Revive Medical Urgent Care LLC
• Revive Therapy Plus Wellness
• Darnell Rex, MS
• Stephanie Rex
• Jr Rey
• Marvic Rey

• Athletic Trainer in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Athletic Trainer in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.