Revitalize Physical Therapy PLLC
NPI 1861153090 · Physical Therapist · Dickinson, ND
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revitalize Physical Therapy PLLC is a Physical Therapist organization in Dickinson, ND (NPI 1861153090).
Provider details
- NPI number
- 1861153090
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Hannah Freiboth, Owner(701) 872-6724
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
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
Other names (DBA / former)
- Doing business as
- Revitalize Physical Therapy PLLC
Additional practice locations (1)
- 455 BroadwayMedora, ND 58645-3008Phone: (701) 872-6724Fax: (701) 353-2073
Registry dates
- Enumerated
- 2022-01-10
- Last updated
- 2023-02-08
- Certified
- 2023-02-08
Frequently asked questions
- What is Revitalize Physical Therapy PLLC's NPI number?
- Revitalize Physical Therapy PLLC's National Provider Identifier (NPI) is 1861153090, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revitalize Physical Therapy PLLC?
- Revitalize Physical Therapy PLLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Revitalize Physical Therapy PLLC located?
- Revitalize Physical Therapy PLLC's practice location on file with NPPES is 1462 I94 Business Loop E Unit 1, Dickinson, ND 58601-6419.
- What is Revitalize Physical Therapy PLLC's phone number?
- The practice phone number listed in the NPPES registry for Revitalize Physical Therapy PLLC is (701) 483-8806.
- Does Revitalize Physical Therapy PLLC accept Medicare?
- Revitalize Physical Therapy PLLC 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 Revitalize Physical Therapy PLLC?
- The authorized official listed on Revitalize Physical Therapy PLLC's NPPES record is Hannah Freiboth, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revitalize Physical Therapy PLLC's NPI active?
- Yes — Revitalize Physical Therapy PLLC's NPI (1861153090) is active in the NPPES registry as of the last update on 2023-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.