OrganizationActive
Revitalife PT LLC
NPI 1225868680 · Clinic/Center · Mendon, MA
Provider details
- NPI number
- 1225868680
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mitali Mohanan, PT(774) 293-8674
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
3 Pond St
Mendon, MA 01756-4500
Phone: (774) 293-8674
Street-level locationGet directions
Mailing address
3 Pond St
Mendon, MA 01756-4500
Registry dates
- Enumerated
- 2024-08-01
- Last updated
- 2024-08-01
- Certified
- 2024-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.