REVIVE REHAB INC
NPI 1962734210
Physical Therapist in Jacksonville, FL

Active since February 10, 2010
4745 SUTTON PARK CT STE 403, JACKSONVILLE, FL 32224(904) 371-4649(888) 393-1099 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Revive Rehab Inc NPPES

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

REVIVE REHAB INC (NPI 1962734210) is a healthcare organization registered as a physical therapist in Jacksonville, Florida and active in the NPI registry since February 2010. The organization lists Darly Thoppil, President, as its authorized official.

NPPES Registry Identity

NPI1962734210
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameREVIVE REHAB INC
Location Address4745 SUTTON PARK CT STE 403Jacksonville, FL 32224-0255
Mailing Address151 Sawgrass Corners Dr, Suite # 117Ponte Vedra Beach, FL 32082-3553 · (904) 472-8846 · Fax (888) 393-1099
Fax(888) 393-1099
Organization SubpartNo
Authorized OfficialDarly ThoppilPresident · (904) 472-8846
Enumeration DateFebruary 10, 2010
Last NPPES UpdateMay 19, 2026
NPPES CertifiedMay 19, 2026
✔ NPI 1962734210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedOccupational TherapistTaxonomy 225X00000X
4745 SUTTON PARK CT STE 403, Jacksonville, FL 32224

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Rehab Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Revive Rehab Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Occupational Therapist in Private Practice
NPI 1952633208
4745 SUTTON PARK CT STE 403
Jacksonville, FL 32224
(904) 371-4649
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1548097439
4745 SUTTON PARK CT STE 403
Jacksonville, FL 32224
(904) 371-4649
Same address
Occupational Therapist in Private Practice
NPI 1437769478
4745 SUTTON PARK CT STE 403
Jacksonville, FL 32224
(904) 371-4649
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1952881328
13500 SUTTON PARK DR S STE 302
Jacksonville, FL 32224
(904) 371-4649
0.2 mi
Physical Therapist in Private Practice
NPI 1962485656
720 SAINT JOHNS BLUFF RD N
Jacksonville, FL 32225
(904) 646-1144
✔ Accepts Medicare6.5 mi
Physical Therapist in Private Practice
NPI 1023163912
3901 UNIVERSITY BLVD S
Jacksonville, FL 32216
(904) 858-7200
✔ Accepts Medicare8.5 mi
Occupational Therapist in Private Practice
NPI 1013193143
4828 SCOTCH PINE CT
Jacksonville, FL 32210
(904) 317-6064
16 mi
Occupational Therapist in Private Practice
NPI 1497909527
2738 W NORTH AVE
Chicago, IL 60647
(773) 292-9380
✔ Accepts Medicare875 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 Rehab Inc's NPI number?

The NPI number for Revive Rehab Inc is 1962734210. It was assigned to this organization in the NPPES registry on February 10, 2010.

Where is Revive Rehab Inc located?

Revive Rehab Inc is located at 4745 Sutton Park Ct Ste 403, Jacksonville, FL 32224. The listed phone number is (904) 371-4649.

What is Revive Rehab Inc's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Revive Rehab Inc enrolled in Medicare?

Yes. Revive Rehab Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revive Rehab Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Revive Rehab Inc. 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. The largest specialties are Occupational Therapist in Private Practice (5) and Physical Therapist in Private Practice (3). Of these, 1 practice at this address and 6 within 10 miles. 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 Rehab Inc was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.