OrganizationActive
Revitalyz Wellness Center, LLC
NPI 1013381763 · Physical Therapist · Bayonne, NJ
Provider details
- NPI number
- 1013381763
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Chris Cabrera, Executive Director(201) 932-0197
- License
- 40QA01420300 (NJ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1222 John F. Kennedy Blvd
Bayonne, NJ 07002
Phone: (201) 932-0197
Street-level locationGet directions
Mailing address
1222 John F. Kennedy Blvd
Bayonne, NJ 07002
Registry dates
- Enumerated
- 2015-11-18
- Last updated
- 2016-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.