Revitalize 3d
NPI 1568139269 · Physical Therapist · Provo, UT
Revitalize 3d is a Physical Therapist organization in Provo, UT (NPI 1568139269).
Provider details
- NPI number
- 1568139269
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Brian Collins, Owner/Ceo(785) 477-2647
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Ergonomics Physical Therapist2251E1200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Geriatric Physical Therapist2251G0304X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Human Factors Physical Therapist2251H1300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sports Physical Therapist2251S0007X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Orthopedic Physical Therapist2251X0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
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
Registry dates
- Enumerated
- 2021-08-30
- Last updated
- 2022-06-02
- Certified
- 2022-06-02
Frequently asked questions
- What is Revitalize 3d's NPI number?
- Revitalize 3d's National Provider Identifier (NPI) is 1568139269, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revitalize 3d?
- Revitalize 3d is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Revitalize 3d located?
- Revitalize 3d's practice location on file with NPPES is 184 W 400 N, Provo, UT 84601-2855.
- What is Revitalize 3d's phone number?
- The practice phone number listed in the NPPES registry for Revitalize 3d is (785) 477-2647.
- Who is the authorized official for Revitalize 3d?
- The authorized official listed on Revitalize 3d's NPPES record is Brian Collins, Owner/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revitalize 3d's NPI active?
- Yes — Revitalize 3d's NPI (1568139269) is active in the NPPES registry as of the last update on 2022-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.