Organization Active NPI

Revolve Performance Rehab

  • Chiropractor
  • North Charleston, SC
National Provider Identifier
1184578098
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
REVOLVE PERFORMANCE REHAB
Practice address
4540 Rivers Ave Unit 100
North Charleston, SC 29405-6926
Phone
(843) 633-1363
NPI assigned
Feb 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Dr. Karl Bailey, DCNPI 1366812489
Title
Owner
Phone
(843) 633-1363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4540 Rivers Ave Unit 100
North Charleston, SC 29405-6926

Mailing address

560 Holiday Dr
Summerville, SC 29483-7333
Phone (843) 633-1363

National Provider Directory

National Provider Directory

Locations

4540 Rivers Ave
Unit 100
North Charleston, SC 29405
Phone (843) 633-1363

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1772064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1184578098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 HOLIDAY DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294837333",
            "telephone_number": "843-633-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 RIVERS AVE UNIT 100",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294056926",
            "telephone_number": "843-633-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLVE PERFORMANCE REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-26",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-633-1363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.