REVOLUTIONARY PHYSICAL THERAPY INC. (NPI# 1578813994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578813994 |
| Entity Type | Organization |
| Organization Name | REVOLUTIONARY PHYSICAL THERAPY INC. |
| Practice Address |
60 Garden St Little Ferry NJ 07643-1535 |
| Practice Telephone | 2016676971 |
| Mailing Telephone | 2016676971 |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |
| Authorized Official Name | DANIEL MERCADO (OWNER/PRESIDENT) |
| Authorized Official Telephone | 2016676971 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 40QA00805300 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | PHYSICAL THERAPY LICENSE | 40QA00805300 | 01 |
| Street Address |
60 GARDEN ST |
| City | LITTLE FERRY |
| State | NJ |
| Zip Code | 07643-1535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093016941 | Daniel Mercado | Physical Therapist | 60 Garden St, Little Ferry, NJ 07643-1535 | 2010-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568016293 | Susan Lauren O'sullivan | Behavioral Analyst | 470a Liberty St., Apt. 303, Little Ferry, NJ 07643 | 2019-07-31 |
| 1508239831 | Caringhouse Projects, Inc | Respite Care | 118 Niehaus Avenue, Little Ferry, NJ 07643 | 2015-11-09 |
| 1235522137 | Kevin Mcqueen | Non-emergency Medical Transport (VAN) | 50 Bergen Turnpike, Little Ferry, NJ 07643 | 2015-03-17 |
| 1891126173 | Michelle Rivera De Jesus | Clinical Nurse Specialist | 140 Franklin Turnpike, Vm6, Waldwick, NJ 07643 | 2013-12-11 |
| 1649610296 | Ann Mary Mickeal | Podiatrist | 35 Columbus Ave, Little Ferry, NJ 07643 | 2013-06-27 |
| 1346595915 | Ghazalah Iqbal Malik | Specialist | 142, Redneck Ave., Little Ferry, NJ 07643 | 2012-07-19 |
| 1639377039 | Little Ferry Optical | Eyewear Supplier (Equipment, not the service) | 260 Bergen Turnpike, Little Ferry, NJ 07643 | 2007-07-06 |
| 1720564628 | Little Ferry First Aid Corp, Inc. | Ambulance | 95 Main St, Little Ferry, NJ 07643 | 2018-07-13 |
| 1285038976 | Michael Anthony | Chiropractor | 198 Main Street, Little Ferry, NJ 07643 | 2014-10-09 |
| 1073605531 | Tara A Trabulsi | Pharmacist | 191 Main Street, Little Ferry, NJ 07643 | 2006-09-29 |
| Find all providers in zip 07643 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194274241 | Hector D Zurita | Physical Therapist | 65 Grand St, Little Ferry, NJ 07643-1506 | 2016-09-30 |
| 1982071577 | John Jonghyun Lee | Physical Therapist | 2 River Street Ext Apt 10, Little Ferry, NJ 07643-1112 | 2015-08-31 |
| 1093016941 | Daniel Mercado | Physical Therapist | 60 Garden St, Little Ferry, NJ 07643-1535 | 2010-11-09 |
| 1407161581 | Maria Leah Giabia Carreon | Physical Therapist | 74 Waterside Dr, Little Ferry, NJ 07643-2207 | 2010-08-12 |
| 1437383775 | Ronilda Pulido | Physical Therapist | 91 Prospect Ave, Little Ferry, NJ 07643-2004 | 2009-05-13 |
| 1871765156 | Jamie Melanie Pabon Giabia | Physical Therapist | 23b Paroubek St, Little Ferry, NJ 07643-1315 | 2008-03-27 |
| 1710176854 | Froilan Maac Mogol | Physical Therapist | 23 Paroubek St Apt B, Little Ferry, NJ 07643-1315 | 2007-10-15 |
| 1134331572 | Shanti K Chacko | Physical Therapist | 33 Hartwick St, Little Ferry, NJ 07643-2015 | 2007-05-06 |
| 1265559801 | Lori Tarabokia | Physical Therapist | 29 Abend St, Little Ferry, NJ 07643-2011 | 2007-03-26 |
| 1184653446 | Cecille Mclarnon | Physical Therapist | 156 Liberty St Apt 8, Little Ferry, NJ 07643-1768 | 2006-06-30 |
| Find all providers in LITTLE FERRY | ||||
| City | LITTLE FERRY |
| Zip Code | 07643 |
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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.