Revive Physical Therapy LLC
NPI 1457819534 · Physical Medicine & Rehabilitation Physician · Portland, OR
Revive Physical Therapy LLC is a Physical Medicine & Rehabilitation Physician organization in Portland, OR (NPI 1457819534).
Provider details
- NPI number
- 1457819534
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kenton Brook, President(503) 691-2723
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
7 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
- 2019-03-07
- Last updated
- 2019-03-07
Frequently asked questions
- What is Revive Physical Therapy LLC's NPI number?
- Revive Physical Therapy LLC's National Provider Identifier (NPI) is 1457819534, 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 Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Revive Physical Therapy LLC located?
- Revive Physical Therapy LLC's practice location on file with NPPES is 18019 Sw Lower Boones Ferry Rd, Portland, OR 97224.
- What is Revive Physical Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Revive Physical Therapy LLC is (503) 691-2723.
- Who is the authorized official for Revive Physical Therapy LLC?
- The authorized official listed on Revive Physical Therapy LLC's NPPES record is Kenton Brook, President. 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 (1457819534) is active in the NPPES registry as of the last update on 2019-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.