REVIVE PHYSICAL THERAPY AND WELLNESS, PLLC
NPI 1689059917
Clinic/Center - Physical Therapy in Tempe, AZ

Active since July 28, 2015
4703 S LAKESHORE DR STE 2, TEMPE, AZ 85282(480) 718-9493 Get Directions Write a Review

NPPES record last updated: June 4, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Revive Physical Therapy And Wellness, Pllc NPPES

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

REVIVE PHYSICAL THERAPY AND WELLNESS, PLLC (NPI 1689059917) is a healthcare organization registered as a physical therapy in Tempe, Arizona and active in the NPI registry since July 2015. The organization lists Dayna Monterrey, Owne, as its authorized official.

NPPES Registry Identity

NPI1689059917
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameREVIVE PHYSICAL THERAPY AND WELLNESS, PLLC
Location Address4703 S LAKESHORE DR STE 2Tempe, AZ 85282
Mailing Address4703 S Lakeshore Dr Ste 2Tempe, AZ 85282-7159 · (480) 718-9493
Organization SubpartNo
Authorized OfficialDayna MonterreyOwne · (480) 718-9493
Enumeration DateJuly 28, 2015
Last NPPES UpdateJune 4, 2018
✔ NPI 1689059917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License✔ Licensed in AZ · 9950
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
4703 S LAKESHORE DR STE 2, Tempe, AZ 85282

Other Identifiers 1

Medicaid734323AZ

Accepted Insurance

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 And Wellness, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Revive Physical Therapy And Wellness, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Physical Therapist in Private Practice
NPI 1396093084
4703 S LAKESHORE DR STE 2
Tempe, AZ 85282
(480) 718-9493
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1932926540
4703 S LAKESHORE DR STE 2
Tempe, AZ 85282
(480) 718-9493
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1932769668
4703 S LAKESHORE DR STE 2
Tempe, AZ 85282
(480) 718-9493
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1386146413
6341 E SOUTHERN AVE STE 108
Mesa, AZ 85206
(480) 354-2911
✔ Accepts Medicare13 mi
Physical Therapist in Private Practice
NPI 1215711072
130 BARROW ST APT 219
New York, NY 10014
(561) 573-2451
✔ Accepts Medicare2,138 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 Physical Therapy And Wellness, PLLC's NPI number?

The NPI number for Revive Physical Therapy And Wellness, PLLC is 1689059917. It was assigned to this organization in the NPPES registry on July 28, 2015.

Where is Revive Physical Therapy And Wellness, PLLC located?

Revive Physical Therapy And Wellness, PLLC is located at 4703 S Lakeshore Dr Ste 2, Tempe, AZ 85282. The listed phone number is (480) 718-9493.

What is Revive Physical Therapy And Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Revive Physical Therapy And Wellness, PLLC enrolled in Medicare?

Yes. Revive Physical Therapy And Wellness, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revive Physical Therapy And Wellness, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Revive Physical Therapy And Wellness, PLLC. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Revive Physical Therapy And Wellness, PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Cigna HealthCare of Arizona, Inc list Revive Physical Therapy And Wellness, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Revive Physical Therapy And Wellness, PLLC was last updated on June 4, 2018. 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.