Revival Performance Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

REVIVAL PERFORMANCE PHYSICAL THERAPY

Practice address

10300 Heritage St Ste 160
San Antonio, TX 78216-3924

Phone

(210) 750-9004

Fax

(210) 866-0201

NPI assigned

May 19, 2021

Last updated

Feb 16, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lauren Schrank, PT, DPTNPI 1295383412

Title

Manager

Phone

(210) 750-9004

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Braeden Lee Clement

  • Physical Therapist
  • San Antonio, TX
  • NPI 1336855808
  Medicare reassignment Care Compare group NPD
• Joseph Alan Hibner, PT,DPT

  • Physical Therapist
  • San Antonio, TX
  • NPI 1528825825
  Medicare reassignment Care Compare group NPD
• Evan P Hoffart, PT, DPT

  • Physical Therapist
  • San Antonio, TX
  • NPI 1720732522
  Medicare reassignment Care Compare group NPD
• Aaron McAnelly, PT, DPT, OCS

  • Physical Therapist
  • San Antonio, TX
  • NPI 1104335777
  Medicare reassignment Care Compare group NPD
• Alexia Lizbeth Herrera, DPT, PT,FAAOMPT,OCS

  • Physical Therapist
  • Monroe, NC
  • NPI 1437723723

  TX

  Medicare reassignment Care Compare group NPD
• Alexander Utech, DPT

  • Physical Therapist
  • San Antonio, TX
  • NPI 1689402208
  Medicare reassignment
• Lauren Persyn Schrank, PT, DPT

  • Physical Therapist
  • San Antonio, TX
  • NPI 1295383412
  Authorized official Same address or phone
• Emilio Cassaretto, PT, DPT, CSCS

  • Orthopedic Physical Therapist
  • San Antonio, TX
  • NPI 1679324016
  NPD
• Denisse Adriana Fernandez, PT, DPT

  • Physical Therapist
  • San Antonio, TX
  • NPI 1295666386
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1184298424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 HERITAGE ST STE 160",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782163924",
            "telephone_number": "210-750-9004",
            "fax_number": "210-866-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 HERITAGE ST STE 160",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782163924",
            "telephone_number": "210-750-9004",
            "fax_number": "210-866-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVAL PERFORMANCE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "SCHRANK",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-750-9004",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imelda Ramirez Reveron, MA, CLINICIAN
• Revilla Capital Group, LLC (Bright Day Home Care)
• Danya Yrais Revilla, CCC-SLP
• Revise Wellness Services
• Revitalizing Minds Therapy Solutions
• Revived Beauty LLC (Her Power Rx Health Solutions)
• Revolution Mental Health Counseling, PLLC
• Revolution Physical Therapy & Wellness
• Revolution Wellness (Performance Chiropractic and Sports Rehab, PLLC)
• Gangadhar Revuluri, PHARMACIST

• Physical Therapy Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.