| Revive Rehab Plus Llc | |
|
25017 White Sands Dr, Chantilly, VA 20152-4153 | |
| (619) 203-9674 | |
| Not Available |
| Full Name | Revive Rehab Plus Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 25017 White Sands Dr, Chantilly, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154192474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Provider Name | Kavya Reddy Punuru |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649619081 PECOS PAC ID: 4981047180 Enrollment ID: I20240226002080 |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Rehab Plus Llc 25017 White Sands Dr, Chantilly, VA 20152-4153 Ph: (619) 203-9674 | Revive Rehab Plus Llc 25017 White Sands Dr, Chantilly, VA 20152-4153 Ph: (619) 203-9674 |
Bhumi Anish Desai, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24801 Pinebrook Rd Ste 200, Chantilly, VA 20152 Phone: 703-722-2525 | |
Dr. Samantha L Sova, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3914 Centreville Rd Ste 240, Chantilly, VA 20151 Phone: 571-386-3820 | |
Daren Moat, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24801 Pinebrook Rd Ste 200, Chantilly, VA 20152 Phone: 703-722-2525 Fax: 703-327-6708 | |
Mr. Roberto Infante, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4229 Lafayette Center Dr, 1250, Chantilly, VA 20151 Phone: 703-263-2020 Fax: 703-263-2015 | |
Sylvia Carpenter, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3914 Centreville Rd, Ste 240, Chantilly, VA 20151 Phone: 703-727-0570 | |
Zainab M Rasool, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24801 Pinebrook Rd Ste 120, Chantilly, VA 20152 Phone: 703-722-2525 | |
Nova Prime Physical Therapy Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 13995 Metrotech Dr, Chantilly, VA 20151 Phone: 571-774-6378 |