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Revive Physical Therapy LLC

Physical Medicine & Rehabilitation Physician in Portland, OR · enumerated 2019 · authorized official Kenton Brook, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1457819534

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Registry record

Entity type Organization (Type 2)
Legal business name Revive Physical Therapy LLC
Practice address 18019 Sw Lower Boones Ferry Rd, Portland, OR, 97224
Phone (503) 691-2723
Fax (503) 692-5406
Enumeration date Mar 7, 2019
Last updated in NPPES Mar 7, 2019

Taxonomy & classification

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Kenton Brook
Title President
Phone (503) 691-2723

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.

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Frequently asked questions

What is the NPI number for Revive Physical Therapy LLC?
The NPI for Revive Physical Therapy LLC is 1457819534, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Revive Physical Therapy LLC?
NPPES lists Kenton Brook (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-03-07.