REVOLUTION SPORTS AND PERFORMANCE LLC (NPI# 1538721907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538721907 |
| Entity Type | Organization |
| Organization Name | REVOLUTION SPORTS AND PERFORMANCE LLC |
| Practice Address |
27774 Autumn Breeze Cir Wesley Chapel FL 33544-7839 |
| Practice Telephone | 8138382510 |
| Mailing Telephone | 8138382510 |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2019-07-05 |
| Authorized Official Name | DR. MATTHEW DAVID BLEVINS (CEO/OWNER) |
| Authorized Official Telephone | 8138382510 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Revolution Sports Physical Therapy and Performance | Doing Business As Name - Organization |
| Street Address |
27774 AUTUMN BREEZE CIR |
| City | WESLEY CHAPEL |
| State | FL |
| Zip Code | 33544-7839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871128413 | White Sands Home Health Care, Inc. | Registered Nurse | 4913 Pennecott Way, Wesley Chapel, FL 33544 | 2020-03-04 |
| 1932684560 | Jeneva M Barber | Counselor | 2824 Windguard Cir Ste 102, Wesley Chapel, FL 33544 | 2018-09-28 |
| 1457837874 | James Bishop | Physician Assistant | 2352 Bruce B Downs Blvd # 102, Wesley Chapel, FL 33544 | 2018-07-18 |
| 1396231411 | Florida Autism Center | Behavioral Analyst | 2389 Oak Myrtle Lane, Wesley Chapel, FL 33544 | 2018-07-02 |
| 1770094658 | Optimal Performance and Physical Therapies Wesley Chapel, LLC | Physical Therapist | 26830 Ridgebrook Dr, Suite 102, Wesley Chapel, FL 33544 | 2017-10-18 |
| 1942726690 | Phillip Montoure | Physical Therapist | 26830 Ridgerbrook Drive, Suite 102, Wesley Chapel, FL 33544 | 2017-08-15 |
| 1245760602 | Molinares Medical Center, LLC | Family Medicine | 2312 Crestover Lane, Ste 101, Wesley Chapel, FL 33544 | 2017-06-18 |
| 1700332558 | Qvita Health & Wellness, LLC | Clinic/Center | 2734 Windguard Circle, Suite 101, Welsy Chapel, FL 33544 | 2016-08-31 |
| 1740648724 | Graceful Caring | Health Maintenance Organization | 26834 Shoregrass Dr, Wesley Chapel, FL 33544 | 2016-02-04 |
| 1992187520 | Alexander Felipe Marrero-plasencia | Dentist | 1945 Noor Street, Apartment # 404, Wesley Chapel, FL 33544 | 2015-06-19 |
| Find all providers in zip 33544 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142552 | Integrated Spine and Physical Therapy Inc | Clinic/Center | 3717 Turman Loop Ste 101a, Wesley Chapel, FL 33544-7794 | 2019-12-31 |
| 1184123275 | First Line Physical Therapy, Pllc | Clinic/Center | 29446 Tansy Pass, Wesley Chapel, FL 33543-6579 | 2018-02-05 |
| 1801030978 | Bay Area Fitness and Physical Therapy, LLC | Clinic/Center | 4203 Edenrock Pl, Wesley Chapel, FL 33543-6913 | 2009-04-21 |
| 1770767899 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 5907 Argerian Dr, Suite 101 and 102, Wesley Chapel, FL 33545-4237 | 2007-12-26 |
| 1679760250 | Proactive Physical Therapy of Wesley Chapel Inc | Clinic/Center | 27311 Wesley Chapel Blvd, Wesley Chapel, FL 33544-4287 | 2007-09-27 |
| 1598390965 | Wesley Chapel Physical Therapy and Associates LLC | Clinic/Center | 2527 Windguard Cir Ste 101, Wesley Chapel, FL 33544-7347 | 2020-03-06 |
| 1033491733 | Patricia Chapa Davila | Clinic/Center | 1940 Bruce B Downs Blvd, Suite 107, Wesley Chapel, FL 33544-9262 | 2011-09-19 |
| 1154542488 | Cora Rehabilitation | Clinic/Center | 1940 Bruce B Downs Blvd, Suite 107, Wesley Chapel, FL 33543-9262 | 2007-05-02 |
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|---|---|---|---|---|
| 1356942742 | Restore Pelvic Health & Rehab LLC | Clinic/Center | 301 E Yamato Rd Ste 1240, Boca Raton, FL 33431-4931 | 2020-11-03 |
| 1558962019 | Ldg Medical Center LLC | Clinic/Center | 4485 Stirling Rd, Davie, FL 33314-7517 | 2020-11-02 |
| 1255930855 | Tideline Sports Performance & Rehabilitation LLC | Clinic/Center | 5261 Paylor Ln, Lakewood Ranch, FL 34240-2203 | 2020-10-23 |
| 1578162780 | Fourth Trimester Wellness LLC | Clinic/Center | 711 Chancellar Dr, Lutz, FL 33548-4512 | 2020-10-19 |
| 1306445754 | Concierge Rehab Inc | Clinic/Center | 1045 E Heritage Club Cir, Delray Beach, FL 33483-3483 | 2020-10-17 |
| 1689272627 | Ucdm Services Inc | Clinic/Center | 12030 Sw 129th Ct Ste 103, Miami, FL 33186-4584 | 2020-10-12 |
| 1902404163 | Frontline Physical Therapy | Clinic/Center | 8655 Bayou Way N, Pinellas Park, FL 33782-4549 | 2020-10-11 |
| 1891393138 | Venice Physical Therapy and Sports Medicine | Clinic/Center | 1776 S Tamiami Trl, Venice, FL 34293-1602 | 2020-10-09 |
| 1750988812 | Angeles Medical Center,inc. | Clinic/Center | 8725 Nw 18th Ter Ste 403, Doral, FL 33172-2610 | 2020-10-02 |
| 1740887967 | Neuro Thrive LLC | Clinic/Center | 1963 Ne Felicita Pl, Jensen Beach, FL 34957-5756 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | WESLEY CHAPEL |
| Zip Code | 33544 |
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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.