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Revive Wellness & Rejuvenation

Q: What type of organization is Revive Wellness & Rejuvenation?

Revive Wellness & Rejuvenation is registered in NPPES as a Physical Medicine & Rehabilitation Physician (its primary provider taxonomy).

Physical Medicine & Rehabilitation Physician in Glendale, AZ · enumerated 2016 · authorized official Stephanie Knox, Practice Administrator.

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

National Provider Identifier

1770930166

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Registry record

Entity type Organization (Type 2)

Legal business name Revive Wellness & Rejuvenation

Practice address 13934 N 59th Ave, Suite 100, Glendale, AZ, 85306

Phone (602) 595-7836

Fax (602) 419-2210

Enumeration date May 16, 2016

Last updated in NPPES May 16, 2016

Taxonomy & classification

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

Authorized official

Name Stephanie Knox

Title Practice Administrator

Phone (602) 595-7836

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 → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Revive Wellness & Rejuvenation?

Revive Wellness & Rejuvenation is registered in NPPES as a Physical Medicine & Rehabilitation Physician (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-05-16.