REVIVE CARE PT AND WELLNESS CENTER LLC
NPI 1669277919
Physical Therapist in Crown Point, IN

Active since February 19, 2025
2147 W 96TH AVE, CROWN POINT, IN 46307(219) 765-0038 Get Directions Write a Review

NPPES record last updated: June 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 22, 2025, Feb 19, 2025 (2 updates tracked since 2025).

About Revive Care Pt And Wellness Center Llc NPPES

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

REVIVE CARE PT AND WELLNESS CENTER LLC (NPI 1669277919) is a healthcare organization registered as a physical therapist in Crown Point, Indiana and active in the NPI registry since February 2025. The organization lists Judith Nueros, Owner, as its authorized official.

NPPES Registry Identity

NPI1669277919
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameREVIVE CARE PT AND WELLNESS CENTER LLC
Location Address2147 W 96TH AVECrown Point, IN 46307-2034
Mailing Address2147 W 96th AveCrown Point, IN 46307-2034 · (219) 765-0038
Organization SubpartNo
Authorized OfficialJudith NuerosOwner · (219) 765-0038
Enumeration DateFebruary 19, 2025
Last NPPES UpdateJune 22, 20252 updates tracked since enumeration
NPPES CertifiedJune 22, 2025
✔ NPI 1669277919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
2147 W 96TH AVE, Crown Point, IN 46307

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Care Pt And Wellness Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Revive Care Pt And Wellness Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1033188867
7905 CALUMET AVE FRANCISCAN HAMMOND CLINIC LLC
Munster, IN 46321
(219) 836-5800
✔ Accepts Medicare12 mi

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 Care Pt And Wellness Center LLC's NPI number?

The NPI number for Revive Care Pt And Wellness Center LLC is 1669277919. It was assigned to this organization in the NPPES registry on February 19, 2025.

Where is Revive Care Pt And Wellness Center LLC located?

Revive Care Pt And Wellness Center LLC is located at 2147 W 96th Ave, Crown Point, IN 46307. The listed phone number is (219) 765-0038.

What is Revive Care Pt And Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Revive Care Pt And Wellness Center LLC enrolled in Medicare?

Yes. Revive Care Pt And Wellness Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revive Care Pt And Wellness Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Revive Care Pt And Wellness Center 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. 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 Care Pt And Wellness Center LLC was last updated on June 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.