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

Revive Physical Therapy Professional Corporation

Organization Physical Therapist · NPI 1891508685

Revive Physical Therapy Professional Corporation is a Physical Therapist in Tracy, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2655 Henley Pkwy Unit 2112
Tracy, CA 95377-2220
Phone: (214) 517-9435
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 number1891508685
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shayan Moslemi — Ceo · (214) 517-9435
NPI enumeratedJanuary 28, 2025
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025
Mailing address2655 Henley Pkwy Unit 2112, Tracy, CA 95377-2220

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