Organization
REVIVE CARE PT AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH NUEROS (OWNER)
(219) 765-0038
Entity
Organization
Contact information
Practice address
2147 W 96TH AVE, CROWN POINT, IN 46307-2034
(219) 765-0038
Mailing address
2147 W 96TH AVE, CROWN POINT, IN 46307-2034
(219) 765-0038
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
06/22/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up