REVOLUTION HUMAN PHYSICAL THERAPY AND EDUCATION LLC (NPI# 1215591631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215591631 |
| Entity Type | Organization |
| Organization Name | REVOLUTION HUMAN PHYSICAL THERAPY AND EDUCATION LLC |
| Practice Address |
3310 W Braker Ln Ste 300-918 Austin TX 78758-7853 |
| Practice Telephone | 3035232441 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |
| Authorized Official Name | DR. MARK LOUIS MILLIGAN (CEO) |
| Authorized Official Telephone | 3035232441 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Revolution Human Physical Therapy | Doing Business As Name - Organization |
| Street Address |
3310 W BRAKER LN STE 300-918 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758-7853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
| Find all providers in zip 78758 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407328024 | Whitney Nicole Rodgers | Physical Therapist | 12411 Hymeadow Drive Building 3, Suite 3b, Austin, TX 78750-1874 | 2018-12-20 |
| 1487135406 | Aakruti Raikar | Physical Therapist | 8501 Evelina Trl, Austin, TX 78737-8540 | 2018-08-27 |
| 1912410978 | Lindsay Marie Graham | Physical Therapist | 12212 Tawny Farms Rd, Austin, TX 78748-1337 | 2017-11-13 |
| 1508306432 | Quinton Dailey | Physical Therapist | 4000 Medical Pkwy Ste 100, Austin, TX 78756 | 2017-02-25 |
| 1114472743 | Courtney Paige Rivadeneira | Physical Therapist | 7718 Wood Hollow Dr Ste 105, Austin, TX 78731-1601 | 2016-08-24 |
| 1497167035 | Jessica Warnecke | Physical Therapist | 906 Brentwood St, Austin, TX 78757-3033 | 2014-06-02 |
| 1093134454 | Adam Warren | Physical Therapist | 711 W 38th St Ste B3, Austin, TX 78705-1125 | 2014-04-14 |
| 1649603192 | Rudie Spigarelli | Physical Therapist | 8306 Los Ranchos Dr, Austin, TX 78749-3901 | 2013-08-19 |
| 1679818108 | Jade Elyse Metcalf | Physical Therapist | 9430 Research Blvd Ste 2-350, Austin, TX 78759-6586 | 2012-12-10 |
| 1285922476 | Jason Brown | Physical Therapist | 1212 W Parmer Ln, Suite E, Austin, TX 78727-4608 | 2011-07-21 |
| Find all providers in AUSTIN | ||||
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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.