Revolution Physical Therapy Pllc - Medicare Physical Therapist in New York, NY

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Revolution Physical Therapy Pllc is a medicare enrolled "Physical Therapist" provider in New York, New York. Their current practice location is 115 W 30th St Rm 502, New York, New York. You can reach out to their office (for appointments etc.) via phone at (631) 213-2394.

Revolution Physical Therapy Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Revolution Physical Therapy Pllc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1689281842.

Contact Information

Revolution Physical Therapy Pllc
115 W 30th St Rm 502,
New York, NY 10001-4074
(631) 213-2394
(212) 898-0470

Map and Direction




Healthcare Provider's Profile

Full NameRevolution Physical Therapy Pllc
TypeFacility
SpecialityPhysical Therapist
Location115 W 30th St Rm 502, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689281842
  • Provider Enumeration Date: 09/30/2020
  • Last Update Date: 12/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8820408388
  • Enrollment ID: O20201112000310

Medical Identifiers

Medical identifiers for Revolution Physical Therapy Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689281842NPI-NPPES
1275721524OtherNYNPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Revolution Physical Therapy Pllc acts as a billing entity for following providers:
Provider NameKenneth Van
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275721524
PECOS PAC ID: 1052481470
Enrollment ID: I20080528000321
Provider NameKristina Phu
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548761596
PECOS PAC ID: 1052673837
Enrollment ID: I20180314000513

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Revolution Physical Therapy Pllc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Revolution Physical Therapy Pllc
115 W 30th St Rm 502,
New York, NY 10001-4074

Ph: (631) 231-2394		Revolution Physical Therapy Pllc
115 W 30th St Rm 502,
New York, NY 10001-4074

Ph: (631) 213-2394

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.