REVOLUTION PHYSICAL THERAPY (NPI# 1992277107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992277107 |
| Entity Type | Organization |
| Organization Name | REVOLUTION PHYSICAL THERAPY |
| Practice Address |
195 Commercial Dr Ste 100 London KY 40744-5234 |
| Practice Telephone | 6066575111 |
| Practice Fax Number | 6066572354 |
| Mailing Telephone | 6066575111 |
| Mailing Fax Number | 6066572354 |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2019-10-28 |
| Authorized Official Name | EDWARD L VALENTINE (OWNER) |
| Authorized Official Telephone | 6065214743 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100592450 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801257464 | Revolution Physical Therapy | Physical Therapist | 2705 Dougherty Ferry Rd, Ste. 104, Saint Louis, MO 63122-3371 | 2016-03-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | REVOLUTION PHYSICAL THERAPY PLLC | 110-45 Queens Blvd Apt 705, Forest Hills, New York 11375 |
| Street Address |
195 COMMERCIAL DR STE 100 |
| City | LONDON |
| State | KY |
| Zip Code | 40744-5234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104928969 | Edward L Valentine IIi | Physical Therapist | 195 Commercial Dr Ste 100, London, KY 40744-5234 | 2006-09-02 |
| 1841845104 | Stephen Alexander Sears | Physical Therapist | 195 Commercial Dr Ste 100, London, KY 40744-5234 | 2019-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962054627 | Savanna Helton | Counselor | 934 South Laurel Road, London, KS 40744 | 2019-07-12 |
| 1972063204 | Kentucky Rural Health Information Technology Network, Inc. | Community/Behavioral Health | 934 S. Laurel Rd., London, KY 40744 | 2019-03-22 |
| 1184158925 | Laceysha Jamison | Counselor | 21 Middeleground Way, London, KY 40744 | 2017-04-19 |
| 1255705018 | Felicia Church | Speech-Language Pathologist | 248 J Crews Road, London, KY 40744 | 2015-11-17 |
| 1952795163 | Case Managment Options of Kentucky | Case Manager/Care Coordinator | 563 Lockaby Ln, London, KY 40744 | 2015-03-25 |
| 1689066953 | Sitters Etc., LLC | In Home Supportive Care | 1340 S. Laurel Rd, London, KY 40744 | 2015-02-24 |
| 1407280019 | Rocky Mountain Holdings LLC Dba Air Methods Kentucky | Ambulance | 586 Hal Rogers Dr, London, KY 40744 | 2013-08-30 |
| 1760603716 | Janis J. Baker | Speech-Language Pathologist | 351 Royal Drive, London, KY 40744 | 2007-05-01 |
| 1043249816 | Premier Home Care, Inc | Durable Medical Equipment & Medical Supplies | 1340 S Laurel Rd, Offices 104-106, London, KY 40744 | 2006-07-02 |
| 1114358702 | Dereni Blake Brock | Physical Therapist | 195 Commercial Dr, Ste 100, London, KY 40744-5234 | 2013-12-06 |
| Find all providers in zip 40744 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336621903 | First Settlement Physical Therapy | Clinic/Center | 1072 Eagleton Plz Unit 1102, London, OH 43140-9195 | 2018-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755354 | Thrive Therapies Pllc | Clinic/Center | 1701 Nicholasville Rd Ste 200, Lexington, KY 40503-1459 | 2020-09-16 |
| 1134743396 | The Female Athlete Physio, LLC | Clinic/Center | 3705 Grandview Ave, Louisville, KY 40207-3711 | 2020-06-03 |
| 1578185039 | Hope & Horses Rehabilitation LLC | Clinic/Center | 3348 Howell Drennen Rd, Mt Sterling, KY 40353-9112 | 2020-05-07 |
| 1477174977 | Morgan Cimala Pt Pllc | Clinic/Center | 512 Natures Pointe Dr, Somerset, KY 42503-6259 | 2020-05-06 |
| 1649808114 | Confluent Health LLC | Clinic/Center | 175 S English Station Rd Ste 218, Louisville, KY 40245-4199 | 2020-03-31 |
| 1023642485 | Dunn Physical Therapy, Pllc | Clinic/Center | 9506 Norton Commons Blvd, Prospect, KY 40059-7520 | 2020-02-25 |
| 1346871571 | Inspire Physical Therapy, LLC | Clinic/Center | 14901 Forest Oaks Dr, Louisville, KY 40245-6509 | 2020-01-27 |
| 1740810936 | Legacy Physical Therapy | Clinic/Center | 237 E Highway 60, Hardinsburg, KY 40143-4892 | 2020-01-16 |
| 1205470770 | Pain and Performance Solutions LLC | Clinic/Center | 102 Daventry Ln Ste 5, Louisville, KY 40223-2869 | 2019-10-29 |
| 1316588742 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 6129 Airport Hotels Blvd, Louisville, KY 40213-3288 | 2019-10-07 |
| 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.