REVIVE PHYSICAL THERAPY, LLC
NPI 1982102620
Clinic/Center - Physical Therapy in Gonzales, LA

Active since January 29, 2018
12550 AIRLINE HWY STE 102, GONZALES, LA 70737(985) 703-2412 Get Directions Write a Review

NPPES record last updated: January 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 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 1982102620) is a healthcare organization registered as a physical therapy in Gonzales, Louisiana and active in the NPI registry since January 2018. The organization lists Tanya Broussard, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1982102620
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameREVIVE PHYSICAL THERAPY, LLC
Location Address12550 AIRLINE HWY STE 102Gonzales, LA 70737-2269
Mailing Address3261 Effie RdHester, LA 70743
Organization SubpartNo
Authorized OfficialTanya BroussardCredentialing Specialist · (337) 704-5611
Enumeration DateJanuary 29, 2018
NPI 1982102620 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.
12550 AIRLINE HWY STE 102, Gonzales, LA 70737

Accepted Insurance

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 1982102620. It was assigned to this organization in the NPPES registry on January 29, 2018.

Where is Revive Physical Therapy, LLC located?

Revive Physical Therapy, LLC is located at 12550 Airline Hwy Ste 102, Gonzales, LA 70737. The listed phone number is (985) 703-2412.

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.

What insurance does Revive Physical Therapy, LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Revive Physical Therapy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Revive Physical Therapy, LLC was last updated on January 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.