REVIVE PHYSICAL THERAPY LLC
NPI 1215204110
Clinic/Center - Physical Therapy in Ellicott City, MD
About Revive Physical Therapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVIVE PHYSICAL THERAPY LLC (NPI 1215204110) is a healthcare organization registered as a physical therapy in Ellicott City, Maryland and active in the NPI registry since November 2011. The organization lists Renuka Jain, Owner/physical Therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Revive Physical Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Revive Physical Therapy LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Ellicott City, MD 21042
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 Revive Physical Therapy LLC's NPI number?
The NPI number for Revive Physical Therapy LLC is 1215204110. It was assigned to this organization in the NPPES registry on November 20, 2011.
Where is Revive Physical Therapy LLC located?
Revive Physical Therapy LLC is located at 10300 Baltimore National Pike Unit #b, Ellicott City, MD 21042. The listed phone number is (443) 364-4495.
What is Revive Physical Therapy LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Revive Physical Therapy LLC enrolled in Medicare?
Yes. Revive Physical Therapy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revive Physical Therapy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Revive Physical Therapy LLC. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Revive Physical Therapy LLC was last updated on November 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Revive Physical Therapy Llc · NPI 1215204110
Physical Therapy organization in Ellicott City, Maryland. Organization record, active in the CMS NPPES registry since November 20, 2011.
## Identity
- **NPI:** 1215204110 (Entity type: Organization)
- **Enumerated:** November 20, 2011
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Renuka Jain, OWNER/PHYSICAL THERAPIST
## Practice location
- **Address:** 10300 BALTIMORE NATIONAL PIKE, UNIT #B, Ellicott City, MD 21042-2128
- **Phone:** (443) 364-4495
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 20, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1215204110) · Data from the CMS NPPES public registry.