Revitalize 3d
NPI 1568139269ActiveOrganization· Physical Therapist· Provo, UT
Physical Therapist in Provo, Utah, registered in NPPES in August 2021. The authorized official on file is Brian Patrick Collins, DPT, Owner/Ceo.
Overview
| NPI | 1568139269 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 30, 2021 |
| Last updated in NPPES | Jun 2, 2022 |
| Certified by provider | Jun 2, 2022 |
Specialties and licenses
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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