Revitalife Pt LLC
Revitalife Pt LLC is a healthcare organization registered as Clinic/Center in Mendon, MA, holding Type 2 (organization) NPI 1225868680 since 2024. The authorized official on file is Mitali Mohanan, Pt.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1225868680 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Revitalife Pt LLC |
| Practice address | 3 POND ST, Mendon, MA, 01756 |
| Phone | 7742938674 |
| Enumeration date | 2024-08-01 |
| Last updated in NPPES | 2024-08-01 |
Authorized official
| Name | Mitali Mohanan |
|---|---|
| Title | Pt |
| Phone | 7742938674 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Revitalife Pt LLC NPI: 1225868680 Taxonomy: 261Q00000X (Clinic/Center) Address: 3 POND ST, Mendon, MA, 01756
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1255182036 | Mitali Mohanan | Individual | Physical Therapist | Mendon, MA |
Verify this record
Cross-check NPI 1225868680 against the authoritative CMS record: view Revitalife Pt LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Revitalife Pt LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-08-01.