Revive Physical Therapy, LLC

Revive Physical Therapy, LLC is a healthcare organization registered as Physical Therapy Clinic/Center in Gonzales, LA, holding Type 2 (organization) NPI 1982102620 since 2018. The authorized official on file is Tanya Broussard, Credentialing Specialist.

✓ Active NPI ✓ Valid NPI checksum

NPI	1982102620
Entity type	Organization (Type 2)
Legal business name	Revive Physical Therapy, LLC
Practice address	12550 AIRLINE HWY STE 102, Gonzales, LA, 70737
Phone	9857032412
Enumeration date	2018-01-29
Last updated in NPPES	2018-01-29

Authorized official

Name	Tanya Broussard
Title	Credentialing Specialist
Phone	3377045611

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QP2000X	Physical Therapy Clinic/Center	Primary	—	—

Copy-ready billing details

Provider: Revive Physical Therapy, LLC
NPI: 1982102620
Taxonomy: 261QP2000X (Physical Therapy Clinic/Center)
Address: 12550 AIRLINE HWY STE 102, Gonzales, LA, 70737

Verify this record

Cross-check NPI 1982102620 against the authoritative CMS record: view Revive Physical Therapy, 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 Revive Physical Therapy, LLC located?

The practice location on file with NPPES is in Gonzales, LA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-01-29. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-01-29.