| Revive Physical Therapy & Training Llc | |
|
3912 Slate Dr, Champaign, IL 61822-4200 | |
| (913) 522-9971 | |
| Not Available |
| Full Name | Revive Physical Therapy & Training Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 3912 Slate Dr, Champaign, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164222469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251S0007X | Physical Therapist - Sports | (* (Not Available)) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Physical Therapy & Training Llc 3912 Slate Dr, Champaign, IL 61822-4200 Ph: (913) 522-9971 | Revive Physical Therapy & Training Llc 3912 Slate Dr, Champaign, IL 61822-4200 Ph: (913) 522-9971 |
Mrs. Angela J Cusick, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3101 Fields South Dr, Champaign, IL 61822 Phone: 217-366-1323 | |
Jasmine A Evans, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-1323 | |
Blake P Doane, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2906 Crossing Ct, Champaign, IL 61822 Phone: 217-398-9800 Fax: 217-366-0037 | |
Keith A Sternhagen, PT, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2906 Crossing Ct, Champaign, IL 61822 Phone: 217-356-6543 Fax: 217-356-8010 | |
Benjamin Kim, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2906 Crossing Ct, Champaign, IL 61822 Phone: 217-398-9800 Fax: 217-366-0036 | |
Whitney A Walker, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2403 Village Green Pl, Champaign, IL 61822 Phone: 217-359-4549 Fax: 217-359-4620 | |
Mateusz Wesolowski, PT,DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 602 S Neil St, Champaign, IL 61820 Phone: 217-649-0504 Fax: 217-253-8511 |