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

Revive Physical Therapy LLC

Organization Physical Therapy Clinic/Center · NPI 1700756475

Revive Physical Therapy LLC is a Physical Therapy Clinic/Center in Centreville, Virginia. Registered with an NPI since 2025.

In the registry since
2025
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

5675 Stone Rd Ste 200
Centreville, VA 20120-1667
Phone: (703) 357-6161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1700756475
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vinila Peddiboyina — Physical Therapy · (703) 357-6161
NPI enumeratedNovember 7, 2025
Last updated in NPPESNovember 9, 2025
Certification dateNovember 9, 2025
Mailing address23332 Minerva Dr, Brambleton, VA 20148-6877

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