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

Revive Physical Therapy Professional Corporation

Organization Physical Therapist · NPI 1891508685

Revive Physical Therapy Professional Corporation provides Physical Therapist services in Tracy, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2655 Henley Pkwy Unit 2112
Tracy, CA 95377-2220
Phone: (214) 517-9435
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1891508685
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shayan Moslemi — Ceo · (214) 517-9435
NPI enumeratedJanuary 28, 2025
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025
Mailing address2655 Henley Pkwy Unit 2112, Tracy, CA 95377-2220

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