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

Revival Physical Therapy and Wellness

Organization Physical Therapy Clinic/Center · NPI 1730943424

Revival Physical Therapy and Wellness is a Physical Therapy Clinic/Center in Robbinsdale, Minnesota. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

4123 W Broadway Ave
Robbinsdale, MN 55422-1808
Phone: (612) 605-7594
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1730943424
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Britton — Co-Owner, Physical Therapist · (952) 220-3105
NPI enumeratedFebruary 12, 2024
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024
Mailing address11630 Idaho Ave N, Champlin, MN 55316-2894