Revived Mobility LLC
NPI 1336803030 · Physical Medicine & Rehabilitation Physician · Post Falls, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revived Mobility LLC is a Physical Medicine & Rehabilitation Physician organization in Post Falls, ID (NPI 1336803030).
Provider details
- NPI number
- 1336803030
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Mcgillen, Owner(630) 800-9226
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
- Hybrid Health Center
Registry dates
- Enumerated
- 2021-10-28
- Last updated
- 2024-03-07
- Certified
- 2024-03-07
Frequently asked questions
- What is Revived Mobility LLC's NPI number?
- Revived Mobility LLC's National Provider Identifier (NPI) is 1336803030, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revived Mobility LLC?
- Revived Mobility LLC is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Revived Mobility LLC located?
- Revived Mobility LLC's practice location on file with NPPES is 2561 W Seltice Way, Post Falls, ID 83854-8093.
- What is Revived Mobility LLC's phone number?
- The practice phone number listed in the NPPES registry for Revived Mobility LLC is (208) 981-0132.
- Does Revived Mobility LLC accept Medicare?
- Revived Mobility 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 Revived Mobility LLC?
- The authorized official listed on Revived Mobility LLC's NPPES record is Daniel Mcgillen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revived Mobility LLC's NPI active?
- Yes — Revived Mobility LLC's NPI (1336803030) is active in the NPPES registry as of the last update on 2024-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.