REVO REHAB, INC (NPI# 1598272684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598272684 |
| Entity Type | Organization |
| Organization Name | REVO REHAB, INC |
| Practice Address |
1317 Ebenezer Rd Rock Hill SC 29732-2336 |
| Practice Telephone | 8032078177 |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |
| Authorized Official Name | ASHLEY MARIE LOFLIN-FANN (CO-OWNER) |
| Authorized Official Telephone | 2565094154 |
| Authorized Official Credential | PT, DPT |
| 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 |
| Street Address |
1317 EBENEZER RD |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732-2336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164635967 | Mandee Joy Kleine | Physical Therapist | 1317 Ebenezer Rd, Rock Hill, SC 29732-2336 | 2007-05-08 |
| 1679189435 | Homecare Heroes, Inc. | In Home Supportive Care | 1317 Ebenezer Rd, Rock Hill, SC 29732-2336 | 2020-09-17 |
| 1942752076 | Charita Monica Johnson | Nurse Practitioner | 1317 Ebenezer Rd, Ltc Health Solutions, Rock Hill, SC 29732 | 2016-10-24 |
| 1003268111 | Scott Sherrill | Physical Therapy Assistant | 1317 Ebenezer Rd, Rock Hill, SC 29732-2336 | 2016-07-13 |
| 1194176966 | Angie Kay Huechtker | Occupational Therapist | 1317 Ebenezer Rd, Rock Hill, SC 29732-2336 | 2016-06-23 |
| 1437510955 | Donald Niedringhaus | Physical Therapist | 1317 Ebenezer Rd, Rock Hill, SC 29732-2336 | 2016-03-10 |
| 1396106084 | Celia Harbold | Physical Therapy Assistant | 1317 Ebenezer Rd, Rock Hill, SC 29732-2336 | 2016-03-09 |
| 1861885162 | Paula Maria Baker | Nurse Practitioner | 1317 Ebenezer Rd, Rock Hill, SC 29732-2336 | 2015-03-11 |
| 1952742942 | Ulyesse C Everall IIi | Nurse Practitioner | 1317 Ebenezer Rd, Agape Physicians Care, Rock Hill, SC 29732-2336 | 2013-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
| Find all providers in zip 29732 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881237337 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 1393 Celanese Rd, Rock Hill, SC 29732-1722 | 2019-10-28 |
| 1437792082 | Therapy Centers of South Carolina Pa | Clinic/Center | 1393 Celanese Rd, Rock Hill, SC 29732-1722 | 2019-10-25 |
| 1689237240 | Therapy Centers of South Carolina, P.a. | Clinic/Center | 1393 Celanese Rd, Rock Hill, SC 29732-1722 | 2019-04-19 |
| 1295398873 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 1393 Celanese Rd, Rock Hill, SC 29732-1722 | 2019-04-18 |
| 1386728822 | Five Star Quality Care, Inc | Clinic/Center | 1830 W Main St, Rock Hill, SC 29732-8965 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426907 | Firefly Therapy Clinic LLC | Clinic/Center | 2103 Hartness Dr, Greenville, SC 29615-5497 | 2020-10-29 |
| 1457961963 | Midlands Physical Therapy and Wellness LLC. | Clinic/Center | 115 Pettus Ln, Newberry, SC 29108-7719 | 2020-08-10 |
| 1568071017 | Pt Dispatch, LLC | Clinic/Center | 81 Pointe Cir Ste D-18, Greenville, SC 29615-3505 | 2020-07-29 |
| 1356974067 | Mastering Milestones, LLC | Clinic/Center | 1564 Red Tide Rd, Mount Pleasant, SC 29466-9406 | 2020-02-20 |
| 1306480702 | Palmetto Primary Care Physicians, LLC | Clinic/Center | 119 Springhall Dr Ste A2, Goose Creek, SC 29445-5368 | 2019-10-30 |
| 1477197945 | Greene Physical Therapy LLC | Clinic/Center | 824 Farnham Rd, Charleston, SC 29412-4806 | 2019-10-29 |
| 1962045500 | Bright Physical Therapy, LLC | Clinic/Center | 4010 E North St Ste 4, Greenville, SC 29615-6208 | 2019-10-28 |
| 1841848991 | Holistic Therapeutic Services of Sc LLC | Clinic/Center | 3810 Masters Cir, Florence, SC 29501-8514 | 2019-09-03 |
| 1447806518 | Turner Sports Performance, LLC | Clinic/Center | 407 Long Forest Cir, Anderson, SC 29625-1103 | 2019-08-14 |
| 1700348711 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 9547 N Kings Hwy, Myrtle Beach, SC 29572 | 2019-04-01 |
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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.