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REVIVE SPINE AND PAIN CENTER
NPI 1457896003
Physical Medicine & Rehabilitation - Sports Medicine in Marlton, NJ

Active since January 05, 2017
1001 LINCOLN DR W STE E, MARLTON, NJ 08053(856) 983-9001(856) 983-9011 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revive Spine And Pain Center NPPES

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

REVIVE SPINE AND PAIN CENTER (NPI 1457896003) is a healthcare organization registered as a sports medicine in Marlton, New Jersey and active in the NPI registry since January 2017. The organization maintains 2 additional practice locations and lists Michael Rizkalla, Director, as its authorized official.

NPPES Registry Identity

NPI1457896003
Entity TypeOrganization
Primary Taxonomy2081S0010X
Legal Business NameREVIVE SPINE AND PAIN CENTER
Location Address1001 LINCOLN DR W STE EMarlton, NJ 08053-1534
Mailing AddressPo Box 1126Absecon, NJ 08201 · (856) 983-9001
Phone(856) 983-9001
Fax(856) 983-9011
Organization SubpartNo
Authorized OfficialMichael RizkallaDirector · (856) 983-9001
Enumeration DateJanuary 5, 2017
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
✔ NPI 1457896003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
Also ListedClinic/Center · PainTaxonomy 261QP3300X · License 25MA08922900 (NJ)
1001 LINCOLN DR W STE E, Marlton, NJ 08053
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Secondary Practice Locations 2

Location 11245 Whitehorse Mercerville Rd Ste 407Hamilton, NJ 08619-3831 · Phone (609) 581-2400 · Fax (609) 581-2500
Location 2555 Route 18 Ste 201East Brunswick, NJ 08816-3727 · Phone (732) 955-9139 · Fax (732) 387-8594

Other Providers at the Same Location NPPES 2

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

REVIVE SPINE AND PAIN CENTER
Physical Medicine & Rehabilitation (Pain Medicine)
1001 LINCOLN DR W STE E
MARLTON, NJ 08053
Burlington County (856) 983-9001
SELORM TAKYI MD
Physical Medicine & Rehabilitation
1001 LINCOLN DR W STE E
MARLTON, NJ 08053
Burlington County (856) 983-9001

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 Spine And Pain Center's NPI number?

The NPI number for Revive Spine And Pain Center is 1457896003. It was assigned to this organization in the NPPES registry on January 5, 2017.

Where is Revive Spine And Pain Center located?

Revive Spine And Pain Center is located at 1001 Lincoln Dr W Ste E, Marlton, NJ 08053. The listed phone number is (856) 983-9001.

What is Revive Spine And Pain Center's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

When was this NPI record last updated?

The NPPES record for Revive Spine And Pain Center was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.