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

Revive Physical Therapy & Rehabilitation Specialists

Organization Physical Therapist · NPI 1922998368

Revive Physical Therapy & Rehabilitation Specialists is a Physical Therapist in Lake Forest, Illinois. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

28401 N Ballard Dr Ste G
Lake Forest, IL 60045-4543
Phone: (224) 212-0624
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1922998368
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abbey Edmonds — Owner / Lead Therapists · (317) 640-5302
NPI enumeratedJuly 7, 2025
Last updated in NPPESJuly 7, 2025
Certification dateJuly 7, 2025
Mailing address7687 Gamay Ct, Gurnee, IL 60031-5621

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