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

Revive Boost Rebuild Physical Therapy LLC

Organization Physical Therapist · NPI 1194192294

Revive Boost Rebuild Physical Therapy LLC is a Physical Therapist in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2015.

Licensed in
NC
In the registry since
2015
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

1300 Corporation Pkwy Ste B
Raleigh, NC 27610-1362
Phone: (919) 917-7729
Fax: (919) 400-4178
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 13508 (NC)

Record details

NPI number1194192294
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Conti — Owner · (919) 917-7729
Other names Rbr Pt Llc
NPI enumeratedAugust 25, 2015
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025
Mailing address1300 Corporation Pkwy Ste B, Raleigh, NC 27610-1362

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