Revive Clinic and IV Therapy LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

REVIVE CLINIC AND IV THERAPY LLC

Practice address

7000 Infantry Ridge Rd Ste 110a
Manassas, VA 20109-2370

Phone

(703) 828-8089

NPI assigned

Dec 27, 2023

Organization subpart

No

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

Authorized official

Name

Gurdev Singh, DIRECTOR

Title

Dierctor

Phone

(703) 585-4942

Specialties & licenses 1

Addresses

Other names 1

• Revive Clinic and IV Therapy Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Gurpreet K Bajwa

  • Nurse Practitioner
  • Chantilly, VA
  • NPI 1366152357
  NPD

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1942079231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 INFANTRY RIDGE RD STE 110A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092370",
            "telephone_number": "703-828-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 INFANTRY RIDGE RD STE 110A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092370",
            "telephone_number": "703-828-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE CLINIC AND IV THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "GURDEV",
        "authorized_official_title_or_position": "DIERCTOR",
        "authorized_official_telephone_number": "703-585-4942",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revive Clinic and IV Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marlin F Rekow, DDS
• Relatable4U
• Hanah Rennert
• Jacqueline Reno, SLP
• Restore Physical Therapy Pilates & Fitness PLLC
• Eliza Marie Reyes, BCBA
• Rolando Giovanni Reyes, D.M.D.
• Sonia Marixza Reyes, LPTA
• Carla Karim Reynoso
• Thomas H. Rhee, MD

• Public Health or Welfare Agency in Manassas, VA
• Providers in Manassas, VA by specialty
• Public Health or Welfare Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.