Revitalize Rehab and Wellness LLC
NPI 1306476486ActiveOrganization· Physical Therapist· Freeburg, IL
Physical Therapist in Freeburg, Illinois, registered in NPPES in January 2020. The authorized official on file is Andrea M. Bahan, PT, Owner.
Overview
| NPI | 1306476486 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 17, 2020 |
| Last updated in NPPES | Jan 17, 2020 |
| Certified by provider | Jan 17, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
Other physical therapists in Freeburg
- 1164013405
- 1225351703
- 1669941555
- 1679352249
- 1679671556
- 1881288769
- 1982600375