Healthcare Provider Details

I. General information

NPI: 1437077302
Provider Name (Legal Business Name): REVIBE PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7616 BRANFORD PL STE 220
SUGAR LAND TX
77479-3794
US

IV. Provider business mailing address

7616 BRANFORD PL STE 220
SUGAR LAND TX
77479-3794
US

V. Phone/Fax

Practice location:
  • Phone: 832-350-8656
  • Fax:
Mailing address:
  • Phone: 832-350-8656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PRITI BALODI
Title or Position: OWNER
Credential: PT, DPT
Phone: 832-350-8656