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

Revive Rehab Inc

Organization Physical Therapist · NPI 1962734210

Revive Rehab Inc is a Physical Therapist in Jacksonville, Florida. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4745 Sutton Park Ct Ste 403
Jacksonville, FL 32224-0255
Phone: (904) 371-4649
Fax: (888) 393-1099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1962734210
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Darly Thoppil — President · (904) 472-8846
NPI enumeratedFebruary 10, 2010
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing address151 Sawgrass Corners Dr, Suite # 117, Ponte Vedra Beach, FL 32082-3553

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