REVOLUTIONS PHYSICAL THERAPY (NPI# 1487032892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487032892 |
| Entity Type | Organization |
| Organization Name | REVOLUTIONS PHYSICAL THERAPY |
| Practice Address |
158 Concord Rd Apt H23 Billerica MA 01821-4609 |
| Mailing Address |
30 Sudbury Rd Ste 2 Acton MA 01720-5954 |
| Practice Telephone | 9785057219 |
| Mailing Telephone | 9783931655 |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2019-06-05 |
| Authorized Official Name | SHEILA SPITZAK (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 9783931655 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
19380 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110099789A | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | REVOLUTIONS PHYSICAL THERAPY LLC | 15965 Sw 72nd Ave Suite B, Tigard, OR 97224 |
| Street Address |
158 CONCORD RD APT H23 |
| City | BILLERICA |
| State | MA |
| Zip Code | 01821-4609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669643524 | Annemarie Hogan | Physical Therapy Assistant | 158 Concord Rd, #d19, Billerica, MA 01821-4609 | 2008-03-19 |
| 1447638796 | Cambridge Health Alliance | Clinic/Center | 158 Concord Rd, Apt M25, Billerica, MA 01821-4609 | 2015-05-07 |
| 1982838959 | Michael Kasule | Licensed Practical Nurse | 158 Concord Rd, D25, Billerica, MA 01821-4609 | 2009-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828490 | Bh Brightview Concord River Opco, LLC | Alzheimer Center (Dementia Center) | 199 Concord River, Billerica, MA 01821 | 2019-12-12 |
| 1225503857 | Lori Ann Silva | Nurse Practitioner | 5 River Street, Billerica, MA 01821 | 2018-10-10 |
| 1255819090 | Kacie Dawn Melo | Counselor | Billerica Memorial High School 35 River St, Billerica, MA 01821 | 2018-08-03 |
| 1750889937 | Cassidy Erin Lapointe | Behavior Technician | 120 Pollard St, Billerica, MA 01821 | 2018-01-23 |
| 1679025993 | Shp Iv Concord River LLC | Alzheimer Center (Dementia Center) | 199 Concord Road, Billerica, MA 01821 | 2016-11-03 |
| 1790110393 | Michele Lee Krasinski | Registered Nurse | 100 Partridge Road, Billerica, MA 01821 | 2013-09-13 |
| 1538591573 | Riverside Community Care | Community/Behavioral Health | 5 Riverhurst Road Apartment 516, Billerica, MA 01821 | 2013-08-01 |
| 1780029900 | Stephen D Fell | Hearing Instrument Specialist | 26 Mount Vernon Avenue, Billerica, MA 01821 | 2013-05-01 |
| 1578822268 | Akhtar Khan | Dentist | 8 Tower Farm Rd., Billerica, MA 01821 | 2012-05-15 |
| 1942584578 | Mary Louise Kellerman | Dental Hygienist | 38 Pratt St., Billerica, MA 01821 | 2011-09-30 |
| Find all providers in zip 01821 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518448 | Shira Lauren Dragun | Clinic/Center | 63 1/2 Jefferson Ave, Salem, MA 01970-2975 | 2020-11-03 |
| 1518564566 | Ann Pappas Physical Therapy | Clinic/Center | 470 Washington St Ste 31, Norwood, MA 02062-2343 | 2020-10-02 |
| 1538786272 | Neurologic Optimal Wellness Physical Therapy LLC | Clinic/Center | 180 King St, Springfield, MA 01109-4316 | 2020-06-29 |
| 1689297525 | Full Spectrum Physical Therapy and Performance, LLC | Clinic/Center | 17 Cannongate Rd Apt 83, Tyngsboro, MA 01879-1413 | 2020-05-27 |
| 1992328421 | Adam Auto Accident Physio Doctor,inc | Clinic/Center | 1011 Beacon St Ste 1, Brookline, MA 02446-5696 | 2020-05-19 |
| 1952938839 | Jessica Moy Wellness LLC | Clinic/Center | 255 Massachusetts Ave Apt 204, Boston, MA 02115-3511 | 2020-03-23 |
| 1598390940 | The Method Performance and Physical Therapy LLC | Clinic/Center | 378 North St Apt 2, Boston, MA 02113-2143 | 2020-03-05 |
| 1104458785 | Olender Physical Therapy, LLC | Clinic/Center | 316 Washington St Ste 1, Wellesley, MA 02481-4959 | 2020-02-11 |
| 1851930028 | Core Physical Therapy & Performance, LLC | Clinic/Center | 11 Randolph Rd, Randolph, MA 02368-4321 | 2020-01-05 |
| 1316585482 | Healthworks Med Group of Massachusetts P C | Clinic/Center | 157 Berkeley St, Boston, MA 02116-5108 | 2019-12-19 |
| Find all providers with the same taxonomy | ||||
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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.