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

Revive Physical Therapy

Organization Orthopedic Physical Therapist · NPI 1548702079

Revive Physical Therapy is an Orthopedic Physical Therapist in Staten Island, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016

Practice location Address checks out

1330A Rockland Ave
Staten Island, NY 10314-4944
Phone: (718) 619-2259
Show map & directions

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

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 17990 (NY)

Record details

NPI number1548702079
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tory Badalamenti — President · (718) 619-2259
NPI enumeratedNovember 15, 2016
Last updated in NPPESNovember 15, 2016
Mailing address112 Bidwell Ave, Staten Island, NY 10314-3177

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