Revive Performance, Inc.

Athletic Trainer · Oklahoma City, OK

Organization Active NPI

NPI number 1932059631

Practice location

3333 W Hefner Rd
Oklahoma City, OK 73120-5060
Phone
(405) 237-5941
Fax
(405) 237-5941

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NPI record

NPI
1932059631
Entity type
Organization (Type 2)
Enumeration date
February 2, 2026
Last updated
February 2, 2026
Certified
February 1, 2026
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X — —

Mailing address

5012 SW 129TH Ct
Oklahoma City, OK 73173-8882
Phone
(405) 237-5941

Authorized official

Name
Mr. Ryan Clark, LAT, ATC
Title
Owner, Athletic Trainer
Phone
(405) 778-4088

About Revive Performance, Inc.

Revive Performance, Inc. is a healthcare organization registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 3333 W Hefner Rd, Oklahoma City, OK 73120-5060. The NPI number 1932059631 was assigned on February 2, 2026 and the record was last updated on February 2, 2026.

The authorized official for this organization is Mr. Ryan Clark, LAT, ATC, Owner, Athletic Trainer.

Frequently asked questions

What is the NPI number of Revive Performance, Inc.?

The NPI number is 1932059631.

What is the phone number of Revive Performance, Inc.?

The phone number listed for the practice location is (405) 237-5941.

Where is Revive Performance, Inc. located?

3333 W Hefner Rd, Oklahoma City, OK 73120-5060.

What is the taxonomy code for Revive Performance, Inc.?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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