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

Revive Rehab Plus LLC

Organization Physical Therapist · NPI 1154192474

Revive Rehab Plus LLC is a Physical Therapist in Chantilly, Virginia. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
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

25017 White Sands Dr
Chantilly, VA 20152-4153
Phone: (619) 203-9674
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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 number1154192474
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kavya Reddy Punuru — Managing Member · (619) 203-9674
NPI enumeratedJanuary 15, 2024
Last updated in NPPESJanuary 15, 2024
Certification dateJanuary 15, 2024
Mailing address25017 White Sands Dr, Chantilly, VA 20152-4153

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