Revamp Physical Therapy, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT291985 Issued in CA

Legal business name

REVAMP PHYSICAL THERAPY, INC

Practice address

805 E Broadway Ste a
Glendale, CA 91205-4527

Phone

(818) 254-8792

NPI assigned

May 22, 2017

Organization subpart

No

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

Authorized official

Name

Babken Sarkissian, DPTNPI 1538606538

Title

President

Phone

(818) 254-8792

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Babken Sarkissian, DPT, PT

  • Physical Therapist
  • Glendale, CA
  • NPI 1538606538
  Medicare reassignment NPD Authorized official
• Andre Brandon Darbidian, DPT

  • Physical Therapist
  • Glendale, CA
  • NPI 1629602230

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495411200000",
    "number": "1215464185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E BROADWAY STE A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054527",
            "telephone_number": "818-254-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E BROADWAY STE A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054527",
            "telephone_number": "818-254-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVAMP PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-22",
        "last_updated": "2017-05-22",
        "status": "A",
        "authorized_official_last_name": "SARKISSIAN",
        "authorized_official_first_name": "BABKEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-254-8792",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT291985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restorative Home Health
• Restore Home Health Care, Inc.
• Francesca Resurreccion, PT, DPT
• Retina Consultants of Los Angeles, Inc.
• Retina Institute of California Medical Group, a California Medical Par
• Revive Hospice Care Group, Inc
• Diana Reyes Castro, NONE
• Triana Reyes-Saldana
• Coy Reyes, MSW, LCSW
• Dara Reyes, PSY.D

• Physical Therapy Clinic/Center in Glendale, CA
• Providers in Glendale, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; 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.