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

Revive Boost Rebuild Physical Therapy LLC

Organization Physical Therapist · NPI 1194192294

Revive Boost Rebuild Physical Therapy LLC provides Physical Therapist services in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2015.

Licensed in
NC
In the registry since
2015
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

1300 Corporation Pkwy Ste B
Raleigh, NC 27610-1362
Phone: (919) 917-7729
Fax: (919) 400-4178
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 13508 (NC)

Record details

NPI number1194192294
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Conti — Owner · (919) 917-7729
Other names Rbr Pt Llc
NPI enumeratedAugust 25, 2015
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025
Mailing address1300 Corporation Pkwy Ste B, Raleigh, NC 27610-1362

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