Revive Physical Therapy LLC
NPI 1679422968 · Physical Therapist · Ellicott City, MD
Revive Physical Therapy LLC is a Physical Therapist organization in Ellicott City, MD (NPI 1679422968).
Provider details
- NPI number
- 1679422968
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Parent organization
- Revive Physical Therapy LLC
- Organization subpart
- Yes
- Authorized official
- Renuka Jain, Owner(781) 266-6621
Specialties & taxonomies
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
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 10316 Baltimore National Pike Ste aEllicott City, MD 21042-2128Phone: (443) 438-0586Fax: (443) 364-3039
- 10300b Baltimore National PikeEllicott City, MD 21042-2128Phone: (443) 438-0586Fax: (443) 364-3039
Registry dates
- Enumerated
- 2026-01-28
- Last updated
- 2026-01-28
- Certified
- 2026-01-28
Frequently asked questions
- What is Revive Physical Therapy LLC's NPI number?
- Revive Physical Therapy LLC's National Provider Identifier (NPI) is 1679422968, 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 Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Revive Physical Therapy LLC located?
- Revive Physical Therapy LLC's practice location on file with NPPES is 4920 Waterloo Rd Ste a, Ellicott City, MD 21043-6888.
- What is Revive Physical Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Revive Physical Therapy LLC is (443) 438-0586.
- Who is the authorized official for Revive Physical Therapy LLC?
- The authorized official listed on Revive Physical Therapy LLC's NPPES record is Renuka Jain, Owner. 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 (1679422968) is active in the NPPES registry as of the last update on 2026-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.