REVIVE PHYSICAL THERAPY LLC
NPI 1700756475
Clinic/Center - Physical Therapy in Centreville, VA

Active since November 07, 2025
5675 STONE RD STE 200, CENTREVILLE, VA 20120(703) 357-6161 Get Directions Write a Review

NPPES record last updated: November 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Revive Physical Therapy Llc NPPES

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

REVIVE PHYSICAL THERAPY LLC (NPI 1700756475) is a healthcare organization registered as a physical therapy in Centreville, Virginia and active in the NPI registry since November 2025. The organization lists Vinila Peddiboyina, Physical Therapy, as its authorized official.

NPPES Registry Identity

NPI1700756475
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameREVIVE PHYSICAL THERAPY LLC
Location Address5675 STONE RD STE 200Centreville, VA 20120-1667
Mailing Address23332 Minerva DrBrambleton, VA 20148-6877
Organization SubpartNo
Authorized OfficialVinila PeddiboyinaPhysical Therapy · (703) 357-6161
Enumeration DateNovember 7, 2025
Last NPPES UpdateNovember 9, 2025
NPPES CertifiedNovember 9, 2025
✔ NPI 1700756475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
5675 STONE RD STE 200, Centreville, VA 20120

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

Clinician (1)

Physical Therapist in Private Practice
NPI 1437624582
46090 LAKE CENTER PLZ STE 303
Sterling, VA 20165
(571) 771-3130
✔ Accepts Medicare13 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 LLC's NPI number?

The NPI number for Revive Physical Therapy LLC is 1700756475. It was assigned to this organization in the NPPES registry on November 7, 2025.

Where is Revive Physical Therapy LLC located?

Revive Physical Therapy LLC is located at 5675 Stone Rd Ste 200, Centreville, VA 20120. The listed phone number is (703) 357-6161.

What is Revive 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 Physical Therapy LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Revive 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 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 Physical Therapy LLC was last updated on November 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.