REVIVE THERAPEUTICS, LLC
NPI 1881270858
Community/Behavioral Health in South Windsor, CT
About Revive Therapeutics, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVIVE THERAPEUTICS, LLC (NPI 1881270858) is a healthcare organization registered as a community/behavioral health in South Windsor, Connecticut and active in the NPI registry since March 2021. The organization lists Cheryl Plank, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Therapeutics, 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 Therapeutics, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Therapeutics, LLC's NPI number?
The NPI number for Revive Therapeutics, LLC is 1881270858. It was assigned to this organization in the NPPES registry on March 22, 2021.
Where is Revive Therapeutics, LLC located?
Revive Therapeutics, LLC is located at 300 Governors Hwy, South Windsor, CT 06074. The listed phone number is (860) 494-3800.
What is Revive Therapeutics, LLC's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Revive Therapeutics, LLC enrolled in Medicare?
Yes. Revive Therapeutics, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revive Therapeutics, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Revive Therapeutics, 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 Therapeutics, LLC was last updated on March 22, 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.
# Revive Therapeutics, Llc · NPI 1881270858
Community/Behavioral Health organization in South Windsor, Connecticut. Organization record, active in the CMS NPPES registry since March 22, 2021.
## Identity
- **NPI:** 1881270858 (Entity type: Organization)
- **Enumerated:** March 22, 2021
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Cheryl Plank, OWNER
## Practice location
- **Address:** 300 GOVERNORS HWY, South Windsor, CT 06074-2422
- **Phone:** (860) 494-3800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1881270858) · Data from the CMS NPPES public registry.