Revival Physical Therapy & Rehabilitation Services, Pc
Physical Therapy
3706 Third Ave, Bronx
New York, 10456-2145
347-591-4136 347-726-3036
Revival Physical Therapy & Rehabilitation Services, Pc is an authorized DME supplier for medicare equipment and products.Revival Physical Therapy & Rehabilitation Services, Pc is a Physical Therapy in Bronx, New York. It is located at 3706 Third Ave, Bronx and it's customer support contact number is 347-591-4136. The authorized person of Revival Physical Therapy & Rehabilitation Services, Pc is Olatunji Gbotosho who is Pt of this DME and his contact number is 914-948-7641. Active license number of Revival Physical Therapy & Rehabilitation Services, Pc is 017179 for Physical Therapy in New York. Revival Physical Therapy & Rehabilitation Services, Pc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Revival Physical Therapy & Rehabilitation Services, Pc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Revival Physical Therapy & Rehabilitation Services, Pc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Revival Physical Therapy & Rehabilitation Services, Pc |
| Type: | Physical Therapy |
| Location: | 3706 Third Ave, Bronx, New York, 10456-2145 |
| Phone: | 347-591-4136 |
| Fax: | 347-726-3036 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Olatunji Gbotosho |
| Position: | Pt |
| Contact Number: | 914-948-7641 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1063741676 |
| NPI Enumeration Date: | 10 Dec, 2009 |
| NPI Last Update On: | 20 Aug, 2010 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Revival Physical Therapy & Rehabilitation Services, Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Physical Therapy | 017179 | New York | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Medicare Enrollment:
Revival Physical Therapy & Rehabilitation Services, Pc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 9032245022 | O20100330000016 | Revival Physical Therapy & Rehabilitation Services, Pc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 102 Gibson Ave, White Plains, New York |
| Zip: | 10607-2030 |
| Phone Number: | 914-358-5483 |
| Fax Number: | 914-358-5484 |
Patients can reach Revival Physical Therapy & Rehabilitation Services, Pc at
3706 Third Ave, Bronx, New York or can
call on customer care at 347-591-4136.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.