REVIVAL PHYSICAL THERAPY & REHABILITATION SERVICES, PC
NPI 1063741676
Clinic/Center - Physical Therapy in Bronx, NY

Active since December 10, 2009
3706 THIRD AVE, BRONX, NY 10456(347) 591-4136(347) 726-3036 Get Directions Write a Review

NPPES record last updated: August 20, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

NPI1063741676
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameREVIVAL PHYSICAL THERAPY & REHABILITATION SERVICES, PC
Location Address3706 THIRD AVEBronx, NY 10456-2145
Mailing Address102 Gibson AveWhite Plains, NY 10607-2030 · (914) 358-5483 · Fax (914) 358-5484
Fax(347) 726-3036
Organization SubpartNo
Authorized OfficialOlatunji GbotoshoPt · (914) 948-7641
Enumeration DateDecember 10, 2009
Last NPPES UpdateAugust 20, 2010
✔ NPI 1063741676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License✔ Licensed in NY · 017179
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
3706 THIRD AVE, Bronx, NY 10456

Other Identifiers 1

Medicare NSC6328810002NY

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)

Physical Therapist in Private Practice
NPI 1669615373
102 GIBSON AVE
White Plains, NY 10607
(914) 948-7641
✔ Accepts Medicare15 mi

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.