REVIVE IV HYDRATION THERAPY
NPI 1205534583
Clinic/Center - Infusion Therapy in Phoenix, AZ

Active since February 16, 2023
4747 E ELLIOT RD # 109, PHOENIX, AZ 85044(480) 876-1148 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Revive Iv Hydration Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIVE IV HYDRATION THERAPY (NPI 1205534583), doing business as Hydra The Hydration Spa, is a healthcare organization registered as an infusion therapy in Phoenix, Arizona and active in the NPI registry since February 2023. The organization lists Samah Mohamed, Owner, as its authorized official.

NPPES Registry Identity

NPI1205534583
Entity TypeOrganization
Primary Taxonomy261QI0500X
Legal Business NameREVIVE IV HYDRATION THERAPY
Location Address4747 E ELLIOT RD # 109Phoenix, AZ 85044-1627
Mailing Address4747 E Elliot Rd # 109Phoenix, AZ 85044-1627 · (480) 876-1148
Organization SubpartNo
Authorized OfficialSamah MohamedOwner · (720) 935-1490
Enumeration DateFebruary 16, 2023
NPPES CertifiedFebruary 16, 2023
NPI 1205534583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Infusion TherapyAmbulatory Health Care Facilities
Taxonomy Code261QI0500X
4747 E ELLIOT RD # 109, Phoenix, AZ 85044

Other Names 1

Doing Business AsHydra The Hydration Spa

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 Revive IV Hydration Therapy's NPI number?

The NPI number for Revive IV Hydration Therapy is 1205534583. It was assigned to this organization in the NPPES registry on February 16, 2023. The provider is doing business as HYDRA the hydration spa.

Where is Revive IV Hydration Therapy located?

Revive IV Hydration Therapy is located at 4747 E Elliot Rd # 109, Phoenix, AZ 85044. The listed phone number is (480) 876-1148.

What is Revive IV Hydration Therapy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.

When was this NPI record last updated?

The NPPES record for Revive IV Hydration Therapy was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.