REVIVE THERAPY
NPI 1912448754
Clinic/Center - Health Service in Oklahoma City, OK

Active since March 13, 2017
13316 S WESTERN AVE, SUITE F, OKLAHOMA CITY, OK 73170(405) 703-8882(405) 237-3799 Get Directions Write a Review

NPPES record last updated: March 13, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Revive Therapy NPPES

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

REVIVE THERAPY (NPI 1912448754) is a healthcare organization registered as a health service in Oklahoma City, Oklahoma and active in the NPI registry since March 2017. The organization lists Ernest Byron Foster, Manager, as its authorized official.

NPPES Registry Identity

NPI1912448754
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameREVIVE HORMONE CLINIC PLLC
Location Address13316 S WESTERN AVE, SUITE FOklahoma City, OK 73170-7302
Mailing Address13316 S Western Ave, Suite FOklahoma City, OK 73170-7302 · (405) 703-8882 · Fax (405) 237-3799
Fax(405) 237-3799
Organization SubpartNo
Authorized OfficialErnest Byron FosterManager · (405) 703-8882
Enumeration DateMarch 13, 2017
NPI 1912448754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
13316 S WESTERN AVE, Oklahoma City, OK 73170

Other Names 1

Other NameRevive Therapy

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
13316 S WESTERN AVE
OKLAHOMA CITY, OK 73170
Chiropractor
13316 S WESTERN AVE, SUITE Q
OKLAHOMA CITY, OK 73170
Dentist (General Practice)
13316 S WESTERN AVE, SUITE B
OKLAHOMA CITY, OK 73170
Family Medicine
13316 S WESTERN AVE, SUITE M
OKLAHOMA CITY, OK 73170
Nurse Practitioner (Family)
13316 S WESTERN AVE, SUITE M
MOORE, OK 73170
Nurse Practitioner (Family)
13316 S WESTERN AVE
OKLAHOMA CITY, OK 73170

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 Hormone Clinic PLLC's NPI number?

The NPI number for Revive Hormone Clinic PLLC is 1912448754. It was assigned to this organization in the NPPES registry on March 13, 2017. The provider is also known as Revive Therapy.

Where is Revive Hormone Clinic PLLC located?

Revive Hormone Clinic PLLC is located at 13316 S Western Ave Suite F, Oklahoma City, OK 73170. The listed phone number is (405) 703-8882.

What is Revive Hormone Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Revive Hormone Clinic PLLC was last updated on March 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.