Revive Functional Rehabilitation Center
NPI 1619770005 · Pain Clinic/Center · Tampa, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revive Functional Rehabilitation Center is a Pain Clinic/Center organization in Tampa, FL (NPI 1619770005).
Provider details
- NPI number
- 1619770005
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Fairleigh, Owner(850) 291-3618
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
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
Mailing address
Registry dates
- Enumerated
- 2025-03-31
- Last updated
- 2025-03-31
- Certified
- 2025-03-31
Frequently asked questions
- What is Revive Functional Rehabilitation Center's NPI number?
- Revive Functional Rehabilitation Center's National Provider Identifier (NPI) is 1619770005, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Functional Rehabilitation Center?
- Revive Functional Rehabilitation Center is classified in the NPPES registry as Pain Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revive Functional Rehabilitation Center located?
- Revive Functional Rehabilitation Center's practice location on file with NPPES is 3246 Cove Bend Dr, Tampa, FL 33613-2752.
- What is Revive Functional Rehabilitation Center's phone number?
- The practice phone number listed in the NPPES registry for Revive Functional Rehabilitation Center is (850) 291-3618.
- Does Revive Functional Rehabilitation Center accept Medicare?
- Revive Functional Rehabilitation Center 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 Functional Rehabilitation Center?
- The authorized official listed on Revive Functional Rehabilitation Center's NPPES record is David Fairleigh, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Functional Rehabilitation Center's NPI active?
- Yes — Revive Functional Rehabilitation Center's NPI (1619770005) is active in the NPPES registry as of the last update on 2025-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.