Revive Rehab INC in Jacksonville, FL
This location of Revive Rehab bills under NPI 1962734210, an organization record issued on Feb 10, 2010 with the primary taxonomy Physical Therapist. It is one of 3 NPIs registered under this name; each clinician who sees you there has their own NPI and license.
Organization recordNPPES, Aug 2026
1962734210
- Legal name
- Revive Rehab INC
- Entity
- Type 2 · organization
- Primary taxonomy
- Physical Therapist 225100000X
- Practice location
- 4745 SUTTON PARK CT STE 403, Jacksonville, FL 32224
- Phone
- 904-371-4649
- Mailing address
- Ponte Vedra Beach, FL
- Enumerated
- Feb 10, 2010
- Record updated
- May 19, 2026
- Authorized official
- President (title as filed)
6 clinicians CMS lists with Revive Rehab in Jacksonville
- Mallory Massey, OTR/LPhysical Rehabilitation Occupational Therapist1548097439
- Dawn Rudolph, OTR/LGerontology Occupational Therapist1437769478
- Tara Thompson, OTR/LOccupational Therapist1497909527
- Darly ThoppilOccupational Therapist1952633208
- Robert Woodward, OTR/LOccupational Therapist1013193143
- Catherine Yelvington, PTPhysical Therapist1023163912
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Checking an organization
- Confirm the business with the Florida secretary of state (Sunbiz).
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
All taxonomies on this record
- 225100000X Physical Therapist
- 225X00000X Occupational Therapist
Common questions
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.