REVAMP PHYSICAL THERAPY, INC (NPI# 1215464185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215464185 |
| Entity Type | Organization |
| Organization Name | REVAMP PHYSICAL THERAPY, INC |
| Practice Address |
805 E Broadway Ste A Glendale CA 91205-4527 |
| Practice Telephone | 8182548792 |
| Mailing Telephone | 8182548792 |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-05-22 |
| Authorized Official Name | BABKEN SARKISSIAN (PRESIDENT) |
| Authorized Official Telephone | 8182548792 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT291985 | CA | Ambulatory Health Care Facilities |
| Street Address |
805 E BROADWAY STE A |
| City | GLENDALE |
| State | CA |
| Zip Code | 91205-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538606538 | Babken Sarkissian | Physical Therapist | 805 E Broadway Ste A, Glendale, CA 91205-4527 | 2017-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104466382 | Ashley Torres | Behavior Technician | 501 East Harvard Street, Glendale, CA 91205 | 2020-01-15 |
| 1306492277 | Maria Veronica A Lopez | Registered Nurse | 1000 E Windsor Rd, Unit 2, Glendale, CA 91205 | 2019-08-15 |
| 1801373469 | Lucky Riders Inc. | Non-emergency Medical Transport (VAN) | 1251 Boynton St Apt 1, Glendale, CA 91205 | 2018-07-25 |
| 1669967006 | Happy Life Home Health Care Inc | Home Health | 225 East Broadway St, Suite 203, Glendale, CA 91205 | 2018-06-28 |
| 1841782356 | Liana Hariri | Case Manager/Care Coordinator | 1540 E. Colorodo St., Glendale, CA 91205 | 2018-05-31 |
| 1992202469 | Narek Garukyan Dpm | Clinic/Center | 815 E Colorado St Ste 210, Glendale, CA 91205 | 2018-04-10 |
| 1619496080 | Elite Care Home Health Services Inc | Home Health | 225 E.broadway, Suite B114, Glendale, CA 91205 | 2017-09-16 |
| 1396284980 | Ingrid Pamela Vazquez Solis | Case Manager/Care Coordinator | 1540 E. Colorado Street, Glendale, CA 91205 | 2017-02-16 |
| 1730533670 | Arm Trans Management Company | Non-emergency Medical Transport (VAN) | 627 E. Windsor Rd # 6, Glendale, CA 91205 | 2016-04-18 |
| 1104290824 | Caremore Health Plan | Nurse Practitioner | 406 E. Colorado Street, Glendale, CA 91205 | 2015-11-18 |
| Find all providers in zip 91205 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787094 | Movement System Institute Physiotherapy Inc | Clinic/Center | 508 Glenwood Rd Apt 102, Glendale, CA 91202-1572 | 2020-10-09 |
| 1265072904 | Wyatt Robert Wichman | Clinic/Center | 100 W Broadway Ste 750, Glendale, CA 91210-1215 | 2020-01-10 |
| 1902461312 | Mighty Oaks Therapy Pllc | Clinic/Center | 20329 N 59th Ave Ste A5, Glendale, AZ 85308-6854 | 2019-05-01 |
| 1700305596 | Foothills Sports Medicine & Physical Therapy - Stetson Village, LLC | Clinic/Center | 3850 W Happy Valley Rd Ste 147149, Glendale, AZ 85310-3280 | 2017-09-13 |
| 1003358607 | Aris Health Corp | Clinic/Center | 17100 N 67th Ave Bldg 1, Glendale, AZ 85308-3605 | 2016-11-14 |
| 1265808240 | Orthosports Physical Therapy | Clinic/Center | 5620 W Thunderbird Rd Ste B1, Glendale, AZ 85306-4638 | 2015-08-13 |
| 1306140801 | Annette Tamraz Physical Therapy Inc | Clinic/Center | 1000 N Central Ave Ste 220, Glendale, CA 91202-2957 | 2010-12-27 |
| 1952388639 | Pon Physical Therapy Inc | Clinic/Center | 1944 W Glenoaks Blvd, Glendale, CA 91201-1644 | 2005-12-23 |
| 1902375405 | Foothills Sports Medicine & Physical Therapy - Glendale LLC | Clinic/Center | 19420 N 59th Ave Ste H830, Glendale, AZ 85308-6980 | 2018-11-14 |
| 1093216624 | Bhsm Rehabilitation, LLC | Clinic/Center | 4344 W Bell Rd Ste 100, Glendale, AZ 85308-3589 | 2018-02-28 |
| Find all providers in GLENDALE | ||||
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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.