Revive IV Hydration Therapy
NPI 1205534583 · Infusion Therapy Clinic/Center · Phoenix, AZ
Revive IV Hydration Therapy is a Infusion Therapy Clinic/Center organization in Phoenix, AZ (NPI 1205534583).
Provider details
- NPI number
- 1205534583
- Entity type
- Organization
- Primary specialty
- Infusion Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samah Mohamed, Owner(720) 935-1490
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Other names (DBA / former)
- Doing business as
- Hydra the Hydration Spa
Registry dates
- Enumerated
- 2023-02-16
- Last updated
- 2023-02-16
- Certified
- 2023-02-16
Frequently asked questions
- What is Revive IV Hydration Therapy's NPI number?
- Revive IV Hydration Therapy's National Provider Identifier (NPI) is 1205534583, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive IV Hydration Therapy?
- Revive IV Hydration Therapy is classified in the NPPES registry as Infusion Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revive IV Hydration Therapy located?
- Revive IV Hydration Therapy's practice location on file with NPPES is 4747 E Elliot Rd # 109, Phoenix, AZ 85044-1627.
- What is Revive IV Hydration Therapy's phone number?
- The practice phone number listed in the NPPES registry for Revive IV Hydration Therapy is (480) 876-1148.
- Who is the authorized official for Revive IV Hydration Therapy?
- The authorized official listed on Revive IV Hydration Therapy's NPPES record is Samah Mohamed, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive IV Hydration Therapy's NPI active?
- Yes — Revive IV Hydration Therapy's NPI (1205534583) is active in the NPPES registry as of the last update on 2023-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.