Revolution Sports And Performance Llc is a
Clinic/center - Physical Therapy based in Wesley Chapel, Florida. Revolution Sports And Performance Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
27774 Autumn Breeze Cir, Wesley Chapel, Florida. It can be reached at their office (for appointments etc.) via phone at
(813) 838-2510.
NPI number for Revolution Sports And Performance Llc is 1538721907 and their current mailing address is 27774 Autumn Breeze Cir, Wesley Chapel, Florida. Revolution Sports And Performance Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1538721907.
Healthcare Provider's Profile
Full Name | Revolution Sports And Performance Llc |
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Type | Facility |
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Speciality | Clinic/center - Physical Therapy |
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Location | 27774 Autumn Breeze Cir, Wesley Chapel, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538721907
- Provider Enumeration Date: 07/05/2019
- Last Update Date: 06/14/2021
Medical Identifiers
Medical identifiers for Revolution Sports And Performance Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538721907 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2251S0007X | Physical Therapist - Sports | (* (Not Available)) | Secondary |
2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Secondary |
225200000X | Physical Therapy Assistant | (* (Not Available)) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
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 Sports And Performance Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Revolution Sports And Performance Llc 27774 Autumn Breeze Cir, Wesley Chapel, FL 33544-7839 Ph: (813) 838-2510 | Revolution Sports And Performance Llc 27774 Autumn Breeze Cir, Wesley Chapel, FL 33544-7839 Ph: (813) 838-2510 |
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