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

Organization Physical Therapist · NPI 1306476486

Revitalize Rehab and Wellness LLC is a Physical Therapist in Freeburg, Illinois. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

934 Bay Pointe Dr
Freeburg, IL 62243-2737
Phone: (618) 567-0413
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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 number1306476486
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Bahan — Owner · (618) 567-0413
NPI enumeratedJanuary 17, 2020
Last updated in NPPESJanuary 17, 2020
Certification dateJanuary 17, 2020
Mailing address934 Bay Pointe Dr, Freeburg, IL 62243-2737

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