REVIVAL PHYSICAL THERAPY & REHABILITATION SERVICES, PC
NPI 1063741676
Clinic/Center - Physical Therapy in Bronx, NY
About Revival Physical Therapy & Rehabilitation Services, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVIVAL PHYSICAL THERAPY & REHABILITATION SERVICES, PC (NPI 1063741676) is a healthcare organization registered as a physical therapy in Bronx, New York and active in the NPI registry since December 2009. The organization lists Olatunji Gbotosho, Pt, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Revival Physical Therapy & Rehabilitation Services, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Revival Physical Therapy & Rehabilitation Services, PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Revival Physical Therapy & Rehabilitation Services, PC's NPI number?
The NPI number for Revival Physical Therapy & Rehabilitation Services, PC is 1063741676. It was assigned to this organization in the NPPES registry on December 10, 2009.
Where is Revival Physical Therapy & Rehabilitation Services, PC located?
Revival Physical Therapy & Rehabilitation Services, PC is located at 3706 Third Ave, Bronx, NY 10456. The listed phone number is (347) 591-4136.
What is Revival Physical Therapy & Rehabilitation Services, PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Revival Physical Therapy & Rehabilitation Services, PC enrolled in Medicare?
Yes. Revival Physical Therapy & Rehabilitation Services, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revival Physical Therapy & Rehabilitation Services, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Revival Physical Therapy & Rehabilitation Services, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Revival Physical Therapy & Rehabilitation Services, PC was last updated on August 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.