REVITALIZE REHAB CLUB
NPI 1346750601
Physical Therapist - Orthopedic in Long Beach, CA

Active since October 02, 2017
3646 LONG BEACH BLVD STE 106, LONG BEACH, CA 90807(562) 548-0876 Get Directions Write a Review

NPPES record last updated: October 2, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Revitalize Rehab Club NPPES

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

REVITALIZE REHAB CLUB (NPI 1346750601) is a healthcare organization registered as an orthopedic in Long Beach, California and active in the NPI registry since October 2017. The organization lists Danh Ngo, Owner, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1346750601
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameREVITALIZE REHAB CLUB
Location Address3646 LONG BEACH BLVD STE 106Long Beach, CA 90807-6025
Mailing Address3646 Long Beach Blvd Ste 106Long Beach, CA 90807-6025 · (562) 548-0876
Organization SubpartNo
Authorized OfficialDanh NgoOwner, Physical Therapist · (562) 548-0876
Enumeration DateOctober 2, 2017
NPI 1346750601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License Licensed in CA · 30340
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Also ListedPhysical Therapist · SportsTaxonomy 2251S0007X · License 30340 (CA)
3646 LONG BEACH BLVD STE 106, Long Beach, CA 90807

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist (Orthopedic)
3646 LONG BEACH BLVD STE 106
LONG BEACH, CA 90807

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 Revitalize Rehab Club's NPI number?

The NPI number for Revitalize Rehab Club is 1346750601. It was assigned to this organization in the NPPES registry on October 2, 2017.

Where is Revitalize Rehab Club located?

Revitalize Rehab Club is located at 3646 Long Beach Blvd Ste 106, Long Beach, CA 90807. The listed phone number is (562) 548-0876.

What is Revitalize Rehab Club's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Revitalize Rehab Club was last updated on October 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.