REVITA REHAB
NPI 1801124961
Clinic/Center in Spokane Valley, WA

Active since December 01, 2009
1421 N MULLAN RD, SUITE B, SPOKANE VALLEY, WA 99206(509) 343-3150(866) 332-9903 Get Directions Write a Review

NPPES record last updated: March 29, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Revita Rehab NPPES

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

REVITA REHAB (NPI 1801124961) is a healthcare organization registered as a clinic/center in Spokane Valley, Washington and active in the NPI registry since December 2009. The organization lists Bethany Brown, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1801124961
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePNEUBACK SPORTS & THERAPY INSTITUTE NORTHWEST LLC
Location Address1421 N MULLAN RD, SUITE BSpokane Valley, WA 99206-4051
Mailing Address1421 N Mullan Rd, Suite BSpokane Valley, WA 99206-4051 · (509) 343-3150 · Fax (866) 332-9903
Fax(866) 332-9903
Organization SubpartYesParent: Pneuback Sport & Therapy Institute Northwest
Authorized OfficialBethany BrownClinic Administrator · (509) 343-3150
Enumeration DateDecember 1, 2009
Last NPPES UpdateMarch 29, 2012
NPI 1801124961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1421 N MULLAN RD, Spokane Valley, WA 99206

Other Names 1

Doing Business AsRevita Rehab

Other Identifiers 3

Other1740264142WA · Npi
Medicare PINR112008
Medicare UPINU88587

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 Pneuback Sports & Therapy Institute Northwest LLC's NPI number?

The NPI number for Pneuback Sports & Therapy Institute Northwest LLC is 1801124961. It was assigned to this organization in the NPPES registry on December 1, 2009. The provider is doing business as Revita Rehab.

Where is Pneuback Sports & Therapy Institute Northwest LLC located?

Pneuback Sports & Therapy Institute Northwest LLC is located at 1421 N Mullan Rd Suite B, Spokane Valley, WA 99206. The listed phone number is (509) 343-3150.

What is Pneuback Sports & Therapy Institute Northwest LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Pneuback Sports & Therapy Institute Northwest LLC was last updated on March 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.