REVIVE PELVIC HEALTH & PHYSICAL THERAPY LLC
NPI 1689266009
Clinic/Center - Physical Therapy in Clinton, MS

Active since February 08, 2021
107 VICTORIA LN, CLINTON, MS 39056(601) 953-6876 Get Directions Write a Review

NPPES record last updated: February 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Revive Pelvic Health & Physical Therapy Llc NPPES

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

REVIVE PELVIC HEALTH & PHYSICAL THERAPY LLC (NPI 1689266009), doing business as Revive Pelvic Health And Physical Therapy, is a healthcare organization registered as a physical therapy in Clinton, Mississippi and active in the NPI registry since February 2021. The organization lists Veronica Barton, Ceo, as its authorized official.

NPPES Registry Identity

NPI1689266009
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameREVIVE PELVIC HEALTH & PHYSICAL THERAPY LLC
Location Address107 VICTORIA LNClinton, MS 39056-4031
Mailing Address107 Victoria LnClinton, MS 39056-4031 · (601) 953-6876
Organization SubpartNo
Authorized OfficialVeronica BartonCeo · (601) 953-6876
Enumeration DateFebruary 8, 2021
NPPES CertifiedFebruary 8, 2021
✔ NPI 1689266009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
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.
Also ListedClinic/CenterTaxonomy 261Q00000X
107 VICTORIA LN, Clinton, MS 39056

Other Names 2

Doing Business AsRevive Pelvic Health And Physical Therapy
Other NameRevive Pelvic Health And Physical Therapy, Llc

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 Pelvic Health & Physical Therapy 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 Pelvic Health & Physical Therapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1508346222
1650 LELIA DR STE 105
Jackson, MS 39216
(601) 790-0725
11 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 Pelvic Health & Physical Therapy LLC's NPI number?

The NPI number for Revive Pelvic Health & Physical Therapy LLC is 1689266009. It was assigned to this organization in the NPPES registry on February 8, 2021. The provider is doing business as Revive Pelvic Health and Physical Therapy. The provider is also known as Revive Pelvic Health and Physical Therapy, LLC.

Where is Revive Pelvic Health & Physical Therapy LLC located?

Revive Pelvic Health & Physical Therapy LLC is located at 107 Victoria Ln, Clinton, MS 39056. The listed phone number is (601) 953-6876.

What is Revive Pelvic Health & Physical Therapy LLC's specialty?

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

Is Revive Pelvic Health & Physical Therapy LLC enrolled in Medicare?

Yes. Revive Pelvic Health & Physical Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revive Pelvic Health & Physical Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Revive Pelvic Health & Physical Therapy 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 Pelvic Health & Physical Therapy LLC was last updated on February 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.