Revival Physical Therapy & Rehabilitation Services, PC
NPI 1063741676 · Physical Therapy Clinic/Center · Bronx, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revival Physical Therapy & Rehabilitation Services, PC is a Physical Therapy Clinic/Center organization in Bronx, NY (NPI 1063741676).
Provider details
- NPI number
- 1063741676
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Olatunji Gbotosho, PT(914) 948-7641
Specialties & taxonomies
Ambulatory Health Care Facilities
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Mailing address
Registry dates
- Enumerated
- 2009-12-10
- Last updated
- 2010-08-20
Frequently asked questions
- What is Revival Physical Therapy & Rehabilitation Services, PC's NPI number?
- Revival Physical Therapy & Rehabilitation Services, PC's National Provider Identifier (NPI) is 1063741676, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revival Physical Therapy & Rehabilitation Services, PC?
- Revival Physical Therapy & Rehabilitation Services, PC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revival Physical Therapy & Rehabilitation Services, PC located?
- Revival Physical Therapy & Rehabilitation Services, PC's practice location on file with NPPES is 3706 Third Ave, Bronx, NY 10456-2145.
- What is Revival Physical Therapy & Rehabilitation Services, PC's phone number?
- The practice phone number listed in the NPPES registry for Revival Physical Therapy & Rehabilitation Services, PC is (347) 591-4136.
- Does Revival Physical Therapy & Rehabilitation Services, PC accept Medicare?
- Revival Physical Therapy & Rehabilitation Services, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Revival Physical Therapy & Rehabilitation Services, PC?
- The authorized official listed on Revival Physical Therapy & Rehabilitation Services, PC's NPPES record is Olatunji Gbotosho, PT. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revival Physical Therapy & Rehabilitation Services, PC's NPI active?
- Yes — Revival Physical Therapy & Rehabilitation Services, PC's NPI (1063741676) is active in the NPPES registry as of the last update on 2010-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.