Revitalize Rehab PLLC
NPI 1801515820ActiveOrganization· Physical Therapist· Westfield, MA
Physical Therapist in Westfield, Massachusetts, registered in NPPES in August 2022. The authorized official on file is Hasaan Khawaja, DPT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1801515820 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 23, 2022 |
| Last updated in NPPES | Apr 24, 2025 |
| Certified by provider | Apr 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
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) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (MA) |
|---|
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