Revolution Sport & Spine Therapy Llc - Medicare Physical Therapist in Soldotna, AK

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Revolution Sport & Spine Therapy Llc is a medicare enrolled "Physical Therapist - Orthopedic" provider in Soldotna, Alaska. Their current practice location is 35249 Kenai Spur Hwy, Suite C, Soldotna, Alaska. You can reach out to their office (for appointments etc.) via phone at (541) 913-3089.

Revolution Sport & Spine Therapy Llc is licensed to practice in Alaska (license number 1042783) and it also participates in the medicare program. Revolution Sport & Spine Therapy Llc 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 1598215170.

Contact Information

Revolution Sport & Spine Therapy Llc
35249 Kenai Spur Hwy, Suite C,
Soldotna, AK 99669-7623
(541) 913-3089
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameRevolution Sport & Spine Therapy Llc
TypeFacility
SpecialityPhysical Therapist - Orthopedic
Location35249 Kenai Spur Hwy, Soldotna, Alaska
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598215170
  • Provider Enumeration Date: 10/07/2016
  • Last Update Date: 06/10/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6507146412
  • Enrollment ID: O20161212001847

Medical Identifiers

Medical identifiers for Revolution Sport & Spine Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598215170NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251X0800XPhysical Therapist - Orthopedic 1042783 (Alaska)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 Sport & Spine Therapy Llc acts as a billing entity for following providers:
Provider NameThomas T Wells
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477683993
PECOS PAC ID: 7012985161
Enrollment ID: I20040920000157
Provider NamePaul J Carlson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336191824
PECOS PAC ID: 9739182783
Enrollment ID: I20060814000280
Provider NameRebecca J Byerley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760606412
PECOS PAC ID: 9739288531
Enrollment ID: I20070619000728
Provider NameHaley D Bowen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124211750
PECOS PAC ID: 3274629209
Enrollment ID: I20071022000429
Provider NameChelsea Ludlow
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1770031767
PECOS PAC ID: 2668769431
Enrollment ID: I20160921002409
Provider NameJason Edward Buckbee
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881927242
PECOS PAC ID: 2466732359
Enrollment ID: I20161212001180
Provider NameBryan Daniel Frapp
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669726220
PECOS PAC ID: 0042590945
Enrollment ID: I20161212001496
Provider NameMark Edward Cunningham
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770601387
PECOS PAC ID: 8022927326
Enrollment ID: I20161212002149
Provider NameAlexi R Charter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720461312
PECOS PAC ID: 0941519680
Enrollment ID: I20170323001107
Provider NameHeather Johnson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346466489
PECOS PAC ID: 2365627643
Enrollment ID: I20170727001872
Provider NameMavrick Kuzmin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1962938423
PECOS PAC ID: 3274801808
Enrollment ID: I20170808001762
Provider NameDaniel M King
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518305770
PECOS PAC ID: 2860632734
Enrollment ID: I20181008002462
Provider NameTaylor A Robinson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316374887
PECOS PAC ID: 8628204328
Enrollment ID: I20181205003730
Provider NameDavid Seramur
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437566635
PECOS PAC ID: 4082046297
Enrollment ID: I20191108001511
Provider NameBryan P Harter
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1063672392
PECOS PAC ID: 6204252091
Enrollment ID: I20200811001912
Provider NameRobert Hodges
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699107219
PECOS PAC ID: 9234373093
Enrollment ID: I20201201001667
Provider NameClayton Ryan Henson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457968745
PECOS PAC ID: 8022424159
Enrollment ID: I20210315002005
Provider NameAbigail K Holmes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699333914
PECOS PAC ID: 6901130814
Enrollment ID: I20210625002722
Provider NameMadeline Ann Miller
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295400737
PECOS PAC ID: 2264821214
Enrollment ID: I20211111002421
Provider NameChristopher Michael Richter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942728043
PECOS PAC ID: 3971835869
Enrollment ID: I20211220001250
Provider NameSavannah Jeane Lyons
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134852007
PECOS PAC ID: 0143601054
Enrollment ID: I20220722001102
Provider NameTiffany M Mccorison
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1578600904
PECOS PAC ID: 6002918539
Enrollment ID: I20220920001514
Provider NameAngela Harter
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1396071783
PECOS PAC ID: 2365801545
Enrollment ID: I20230706001542
Provider NameLuis Enrique Reyes Mendieta
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033895081
PECOS PAC ID: 9931561115
Enrollment ID: I20230821001322
Provider NameMallery Aiken
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306479480
PECOS PAC ID: 3375933880
Enrollment ID: I20250502001615
Provider NameDelanie Jean Vitosh
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1962192252
PECOS PAC ID: 7618334764
Enrollment ID: I20250515002325

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 Sport & Spine Therapy Llc 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 Sport & Spine Therapy Llc
35249 Kenai Spur Hwy, Suite C,
Soldotna, AK 99669-7623

Ph: (907) 420-0836		Revolution Sport & Spine Therapy Llc
35249 Kenai Spur Hwy, Suite C,
Soldotna, AK 99669-7623

Ph: (541) 913-3089

Reviews and Comments


Physical Therapist in Soldotna, AK

Luis Enrique Reyes Mendieta,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 35249 Kenai Spur Hwy, Soldotna, AK 99669
Phone: 907-781-3227    
Mrs. Stacy Lee Brantley, MPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 35551 Kenai Spur Hwy, Soldotna, AK 99669
Phone: 907-714-4534    Fax: 907-262-4783
Christy Nicole Warren, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 44604 Sterling Hwy, Unit A, Soldotna, AK 99669
Phone: 907-420-0640    Fax: 907-420-0630
Alaskan Physical Therapy, Inc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 36275 Kenai Spur Hwy, Suite 5, Soldotna, AK 99669
Phone: 907-260-2679    Fax: 907-260-2676
Zachary Michael Huot, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 230 E Marydale Ave, Soldotna, AK 99669
Phone: 907-262-3119    Fax: 907-262-9290
Savannah Jeane Lyons, SPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 35249 Kenai Spur Hwy Ste C, Soldotna, AK 99669
Phone: 907-420-0836    Fax: 907-420-0837
Aspen Physical Therapy Pc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 221 W. Marydale Ave, Soldotna, AK 99669
Phone: 907-262-2596    

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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.

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