REVIVE ATHLETICS, INC
NPI 1487964193
Speech-Language Pathologist in Smyrna, GA

Q: What is Revive Athletics, Inc's NPI number?

The NPI number for Revive Athletics, Inc is 1487964193. It was assigned to this organization in the NPPES registry on October 15, 2010.

Q: What is Revive Athletics, Inc's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Active since October 15, 2010

460 BOURNE DRIVE, SMYRNA, GA 30082(770) 899-8187 Get Directions Write a Review

NPPES record last updated: October 15, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Revive Athletics, Inc NPPES

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

REVIVE ATHLETICS, INC (NPI 1487964193) is a healthcare organization registered as a speech-language pathologist in Smyrna, Georgia and active in the NPI registry since October 2010. The organization lists Matthew Harrell, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1487964193

Entity TypeOrganization

Primary Taxonomy235Z00000X

Legal Business NameREVIVE ATHLETICS, INC

Location Address460 BOURNE DRIVESmyrna, GA 30082

Mailing Address2916 Lonesome Pine LaneAtlanta, GA 30339-4114

Phone(770) 899-8187

Organization SubpartNo

Authorized OfficialMatthew HarrellExecutive Director · (770) 899-8187

Enumeration DateOctober 15, 2010

✔ NPI 1487964193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

460 BOURNE DRIVE, Smyrna, GA 30082

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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

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 Athletics, Inc's NPI number?

The NPI number for Revive Athletics, Inc is 1487964193. It was assigned to this organization in the NPPES registry on October 15, 2010.

Where is Revive Athletics, Inc located?

Revive Athletics, Inc is located at 460 Bourne Drive, Smyrna, GA 30082. The listed phone number is (770) 899-8187.

What is Revive Athletics, Inc's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Revive Athletics, Inc was last updated on October 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.