Revive Physical Therapy & Training LLC
Revive Physical Therapy & Training LLC is a Sports Physical Therapist in Champaign, Illinois. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3912 Slate DrChampaign, IL 61822-4200
Phone: (913) 522-9971
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopedic Physical Therapist (primary) | Taxonomy 2251X0800X |
|---|---|
| Sports Physical Therapist | Taxonomy 2251S0007X |
Record details
| NPI number | 1164222469 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Daniel Cummins — Owner/Manager · (913) 522-9971 |
| NPI enumerated | March 17, 2025 |
| Last updated in NPPES | March 17, 2025 |
| Certification date | March 16, 2025 |
| Mailing address | 3912 Slate Dr, Champaign, IL 61822-4200 |