Revive Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

REVIVE PHYSICAL THERAPY

Practice address

235 Wellington PL
Brunswick, GA 31523-7075

Phone

(423) 314-0262

NPI assigned

Sep 27, 2022

Last updated

Sep 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chandler Skye Fox, DPTNPI 1942715164

Title

Owner

Phone

(423) 314-0262

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Chandler Fox, DPT

  • Physical Therapist
  • Brunswick, GA
  • NPI 1942715164
  NPD Authorized official

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1932823564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 WELLINGTON PL",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315237075",
            "telephone_number": "423-314-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WELLINGTON PL",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315237075",
            "telephone_number": "423-314-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "CHANDLER",
        "authorized_official_middle_name": "SKYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-314-0262",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John R Rentz, MD
• Turner W. Rentz Jr., M.D.
• Renue Plastic Surgery, LLC
• Renue Surgery Center LLC
• Beth Respess, PA
• Rewritten Counseling
• Jose Salvador Reyes Oliva, MD
• Claire Branch Reyna, PA-C
• Terry L Reynolds, MD
• Valerie Rhett, REGISTERED NURSE

• Physical Therapist in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.