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

Revive Clinic and IV Therapy LLC

Organization Family Medicine Physician · NPI 1578249942

Revive Clinic and IV Therapy LLC is a Family Medicine Physician in Burke, Virginia. Registered with an NPI since 2023.

In the registry since
2023
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

5631 Burke Centre Pkwy Ste C
Burke, VA 22015-2234
Phone: (703) 200-1015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1578249942
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Butler — Authorized Official · (916) 909-4910
NPI enumeratedJune 22, 2023
Last updated in NPPESSeptember 19, 2023
Certification dateSeptember 19, 2023
Mailing address5631 Burke Centre Pkwy Ste C, Burke, VA 22015-2234

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