Revive Rehab Plus LLC
NPI 1154192474 · Physical Therapist · Chantilly, VA
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revive Rehab Plus LLC is a Physical Therapist organization in Chantilly, VA (NPI 1154192474).
Provider details
- NPI number
- 1154192474
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kavya Reddy Punuru, Managing Member(619) 203-9674
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2024-01-15
- Last updated
- 2024-01-15
- Certified
- 2024-01-15
Frequently asked questions
- What is Revive Rehab Plus LLC's NPI number?
- Revive Rehab Plus LLC's National Provider Identifier (NPI) is 1154192474, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Rehab Plus LLC?
- Revive Rehab Plus LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Revive Rehab Plus LLC located?
- Revive Rehab Plus LLC's practice location on file with NPPES is 25017 White Sands Dr, Chantilly, VA 20152-4153.
- What is Revive Rehab Plus LLC's phone number?
- The practice phone number listed in the NPPES registry for Revive Rehab Plus LLC is (619) 203-9674.
- Does Revive Rehab Plus LLC accept Medicare?
- Revive Rehab Plus LLC 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 Revive Rehab Plus LLC?
- The authorized official listed on Revive Rehab Plus LLC's NPPES record is Kavya Reddy Punuru, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Rehab Plus LLC's NPI active?
- Yes — Revive Rehab Plus LLC's NPI (1154192474) is active in the NPPES registry as of the last update on 2024-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.