Revitalized Performance, LLC
NPI 1861967796ActiveOrganization· Physical Therapist· Manchester, NH
Physical Therapist in Manchester, New Hampshire, registered in NPPES in October 2018. The authorized official on file is Danielle Carly Temmen, DPT, Owner.
Overview
| NPI | 1861967796 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 8, 2018 |
| Last updated in NPPES | Oct 5, 2024 |
| Certified by provider | Oct 5, 2024 |
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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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