MEDICARE: REVIVE HEALTH THERAPY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	235Z00000X	Speech-Language Pathologist
2	225X00000X	Occupational Therapist
3	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1164101226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REVIVE HEALTH THERAPY PLLC

Provider Business Mailing Address
First Line	:	14541 RISING STAR BLVD
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75033-0501
Country	:	US
Telephone Number	:	972-822-9674
Fax Number	:

Provider Business Practice Location Address
First Line	:	14541 RISING STAR BLVD
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75033-0501
Country	:	US
Telephone Number	:	972-822-9674
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	DENIS PATEL
Credential	:	PT, DPT
Telephone Number	:	972-822-9674

Provider Enumeration Date	:	07/17/2023
Last Update Date	:	06/02/2026

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Directions to “REVIVE HEALTH THERAPY PLLC ” Practice Location

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