Revive Physical Therapy LLC
NPI 1215204110 · Physical Therapy Clinic/Center · Ellicott City, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revive Physical Therapy LLC is a Physical Therapy Clinic/Center organization in Ellicott City, MD (NPI 1215204110).
Provider details
- NPI number
- 1215204110
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Renuka Jain, Owner/Physical Therapist(443) 364-4495
- License
- 22176 (MD)
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
14 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
- 2011-11-20
- Last updated
- 2011-11-20
Frequently asked questions
- What is Revive Physical Therapy LLC's NPI number?
- Revive Physical Therapy LLC's National Provider Identifier (NPI) is 1215204110, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Physical Therapy LLC?
- Revive Physical Therapy LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revive Physical Therapy LLC located?
- Revive Physical Therapy LLC's practice location on file with NPPES is 10300 Baltimore National Pike, Ellicott City, MD 21042-2128.
- What is Revive Physical Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Revive Physical Therapy LLC is (443) 364-4495.
- Does Revive Physical Therapy LLC accept Medicare?
- Revive Physical Therapy 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 Physical Therapy LLC?
- The authorized official listed on Revive Physical Therapy LLC's NPPES record is Renuka Jain, Owner/Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Physical Therapy LLC's NPI active?
- Yes — Revive Physical Therapy LLC's NPI (1215204110) is active in the NPPES registry as of the last update on 2011-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.