Revitalyz Wellness Center, LLC
NPI 1013381763ActiveOrganization· Physical Therapist· Bayonne, NJ
Physical Therapist in Bayonne, New Jersey, registered in NPPES in November 2015. The authorized official on file is Chris Cabrera, Executive Director.
Overview
| NPI | 1013381763 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 18, 2015 |
| Last updated in NPPES | Jul 7, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 40QA01420300 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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