Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Revitalize Rehab Club

Organization Sports Physical Therapist · NPI 1346750601

Revitalize Rehab Club provides Sports Physical Therapist services in Long Beach, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

3646 Long Beach Blvd Ste 106
Long Beach, CA 90807-6025
Phone: (562) 548-0876
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 30340 (CA)
Sports Physical Therapist Taxonomy 2251S0007X · Licence 30340 (CA)

Record details

NPI number1346750601
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Danh Ngo — Owner, Physical Therapist · (562) 548-0876
NPI enumeratedOctober 2, 2017
Last updated in NPPESOctober 2, 2017
Mailing address3646 Long Beach Blvd Ste 106, Long Beach, CA 90807-6025

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