Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revere Physical Therapy

Organization Physical Therapy Clinic/Center · NPI 1699949396

Revere Physical Therapy is a Physical Therapy Clinic/Center in Revere, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2008.

Licensed in
MA
In the registry since
2008

Practice location Address checks out

76 Shirley Ave
Revere, MA 02151-5102
Phone: (781) 284-8277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 343 (MA)

Record details

NPI number1699949396
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Prum — Owner · (781) 284-8277
NPI enumeratedApril 15, 2008
Last updated in NPPESApril 15, 2008
Mailing address76 Shirley Ave, Revere, MA 02151-5102

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