| Revolution Incorporated | |
|
5310 Yadkin Rd, Fayetteville, NC 28303-3255 | |
| (910) 988-6974 | |
| (910) 425-4956 |
| Full Name | Revolution Incorporated |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 5310 Yadkin Rd, Fayetteville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972798007 | NPI | - | NPPES |
| Provider Name | Shanna Scott Thurman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528031275 PECOS PAC ID: 5294811386 Enrollment ID: I20080401000093 |
| Provider Name | Tremayne T Thurman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457414823 PECOS PAC ID: 6103902291 Enrollment ID: I20080401000108 |
| Provider Name | Le Ann Mancio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942647300 PECOS PAC ID: 9830323260 Enrollment ID: I20131017001446 |
| Provider Name | Stephanie May |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043652670 PECOS PAC ID: 5890011803 Enrollment ID: I20150311000428 |
| Mailing Address | Practice Location Address |
|---|---|
| Revolution Incorporated 5310 Yadkin Rd, Fayetteville, NC 28303-3255 Ph: (910) 988-6974 | Revolution Incorporated 5310 Yadkin Rd, Fayetteville, NC 28303-3255 Ph: (910) 988-6974 |
Miss Roxanne King, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Pamalee Drive, Fayetteville, NC 28303 Phone: 910-488-2295 | |
Kristi Wilkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1289 Oliver St, Fayetteville, NC 28304 Phone: 910-483-8331 Fax: 910-483-8335 | |
Dale Anthony Gallo Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4140 Ferncreek Dr Ste 802, Fayetteville, NC 28314 Phone: 910-484-2171 Fax: 910-484-4568 | |
Bridget Maley, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7532 Wilkins Dr, Fayetteville, NC 28311 Phone: 910-868-6000 | |
Casandra Heather Canterbury, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 Executive Pl, Fayetteville, NC 28305 Phone: 910-423-5550 Fax: 910-423-5552 | |
Tobi Alyssa Fuller, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1289 Oliver St, Fayetteville, NC 28304 Phone: 910-483-8331 Fax: 910-483-8335 | |
Dr. Jackson Thomas Pruett, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5860 Yadkin Rd, Fayetteville, NC 28303 Phone: 910-491-5164 |