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Contact Information

REVOLUTION PHYSICAL THERAPY PLLC
115 W 30TH ST RM 502
NEW YORK, NY10001-4074
 Phone: 631-213-2394
 Fax: 212-898-0470
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for REVOLUTION PHYSICAL THERAPY PLLC

NPI # 1689281842
LBN Legal business name REVOLUTION PHYSICAL THERAPY PLLC
Authorized official KENNETH VAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/30/2020
Last updated 12/09/2024 - More than a year ago
Identifiers
NY Other 1275721524 NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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