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

Revival Rehab, LLC

Organization Physical Therapist · NPI 1558194704

Revival Rehab, LLC is a Physical Therapist in Lutz, Florida. Registered with an NPI since 2024.

In the registry since
2024
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

18625 Le Dauphine Pl
Lutz, FL 33558-2886
Phone: (813) 842-3351
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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 number1558194704
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Todd Minear — Owner/Physical Therapist · (813) 842-3351
NPI enumeratedAugust 22, 2024
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024
Mailing address18625 Le Dauphine Pl, Lutz, FL 33558-2886

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