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

Revitalize Athletics, PLLC

Organization Physical Therapist · NPI 1790411569

Revitalize Athletics, PLLC is a Physical Therapist in Lakewood, Colorado. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9643 W 14th Ave
Lakewood, CO 80215-4755
Phone: (626) 512-5559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1790411569
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Loveland — Physical Therapist/Owner · (626) 512-5559
NPI enumeratedJuly 25, 2022
Last updated in NPPESJuly 25, 2022
Certification dateJuly 25, 2022
Mailing address9643 W 14th Ave, Lakewood, CO 80215-4755

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