Revive Physical Therapy Rehabilitation P C
NPI 1336939404ActiveOrganization· Physical Therapist· Signal Hill, CA
Physical Therapist in Signal Hill, California, registered in NPPES in May 2025. The authorized official on file is Andrew Yorke, PT, Physical Therapist/ President. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1336939404 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 12, 2025 |
| Last updated in NPPES | Mar 9, 2026 |
| Certified by provider | Mar 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (CA) |
|---|
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