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

Revival Physical Therapy & Rehabilitation Services, PC

Organization Physical Therapy Clinic/Center · NPI 1063741676

Revival Physical Therapy & Rehabilitation Services, PC is a Physical Therapy Clinic/Center in Bronx, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3706 Third Ave
Bronx, NY 10456-2145
Phone: (347) 591-4136
Fax: (347) 726-3036
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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 017179 (NY)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1063741676
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olatunji Gbotosho — Pt · (914) 948-7641
NPI enumeratedDecember 10, 2009
Last updated in NPPESAugust 20, 2010
Mailing address102 Gibson Ave, White Plains, NY 10607-2030

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