REVITALIZE HEALTH AND BEAUTY (NPI# 1750703336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750703336 |
| Entity Type | Organization |
| Organization Name | REVITALIZE HEALTH AND BEAUTY |
| Practice Address |
1920 Livernois Rd Suite D Troy MI 48083-1732 |
| Practice Telephone | 2485304772 |
| Mailing Telephone | 2485304772 |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |
| Authorized Official Name | GLORIA YGAY (OWNER) |
| Authorized Official Telephone | 2485304772 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
1920 LIVERNOIS RD SUITE D |
| City | TROY |
| State | MI |
| Zip Code | 48083-1732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811990518 | Michael Carl Davis | Internal Medicine | 1920 Livernois Rd, Troy, MI 48083-1732 | 2005-05-27 |
| 1710357348 | Allyson Hallahan | Nurse Practitioner | 1920 Livernois Rd, Troy, MI 48083-1770 | 2015-09-24 |
| 1194001222 | Im Hospitalists | Internal Medicine | 1920 Livernois Rd, Troy, MI 48083-1732 | 2011-11-03 |
| 1639394455 | Cns Homecare, Inc. | Home Health | 1920 Livernois Rd, Troy, MI 48083-1732 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
| 1114418290 | Ann Katchke | Physical Therapist | 3179 Livernois Rd, Troy, MI 48083 | 2018-05-23 |
| 1518485945 | Risa Rae Mendelson | Counselor | 1059 Owendale Street, Troy, MI 48083 | 2017-09-06 |
| 1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
| 1528510328 | Dylan Skye Polasko | Behavioral Analyst | 2221 E 4th St, #101, Troy, MI 48083 | 2016-10-27 |
| 1235683061 | Sadia Ghazi | Technician, Other | 3178 Daley Dr., Troy, MI 48083 | 2016-08-10 |
| 1548664345 | Amber Leigh Ernst | Social Worker | 1225 E. Big Beaver Road, Troy, MI 48083 | 2014-10-22 |
| 1356782411 | Michelle Louise Knoblock | Nurse Anesthetist, Certified Registered | 1560 E Maple Rd Ste 100, Troy, MI 48083 | 2013-07-17 |
| 1437400728 | Oakland Physicians Surgery Center | Clinic/Center | 1560 E. Maple Road, Suite 100, Troy, MI 48083 | 2012-09-26 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
| Find all providers in zip 48083 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760022735 | Physical Therapy 212, LLC | Clinic/Center | 10 N Market St Ste D, Troy, OH 45373-3281 | 2020-01-08 |
| 1407359094 | Prime One Physical Therapy LLC | Clinic/Center | 1441 E Maple Rd Ste 102, Troy, MI 48083-4025 | 2018-03-09 |
| 1912445552 | Excellent Therapy Services Pllc | Clinic/Center | 1868 Connolly Dr, Troy, MI 48098-5328 | 2017-02-02 |
| 1770630832 | Able Physical Therapy & Rehab Inc. | Clinic/Center | 3699 Euclid Dr., Troy, MI 48083-5758 | 2007-01-04 |
| 1194734210 | Rehab Associates, LLC | Clinic/Center | 1118b Highway 231 S, Troy, AL 36081-3002 | 2006-08-07 |
| 1912930637 | Occupational Health Centers of Michigan, P.C. | Clinic/Center | 627 E Maple Rd, Suite 200, Troy, MI 48083-2812 | 2006-07-08 |
| 1477546729 | Complete Fitness Rehabilitation Inc | Clinic/Center | 1380 Coolidge Hwy Ste L200, Troy, MI 48084 | 2005-08-23 |
| 1295367548 | Tailor-made Physical Therapy | Clinic/Center | 300 Jarvis Ct Ste 6, Troy, IL 62294-1155 | 2020-02-05 |
| 1386289692 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 39 Dorothy Dr, Troy, IL 62294-1389 | 2019-11-11 |
| 1033768072 | Drayer Physical Therapy Northern Ohio LLC | Clinic/Center | 2355 W Main St, Troy, OH 45373-8484 | 2019-09-11 |
| Find all providers in TROY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.