Revolution Orthotics & Prosthetics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

REVOLUTION ORTHOTICS & PROSTHETICS, LLC

Practice address

4 Meeting House Rd
Chelmsford, MA 01824-2766

Phone

(407) 221-7810

NPI assigned

Nov 8, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Dylan Austin Miller, CPO

Title

Owner/Clinician

Phone

(407) 221-7810

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1265206403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 NASHOBA RD",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017202314",
            "telephone_number": "407-221-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MEETING HOUSE RD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242766",
            "telephone_number": "407-221-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTION ORTHOTICS & PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "407-221-7810",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John F Reilly, LICSW
• Emily Shirah Reiss, MS CCC-SLP
• Rekha Quazi, M.D. PC
• Celia M. Repucci, PT
• Restore Behavioral Health Clinic LLC
• Revolution Orthotics & Prosthetics, LLC
• Katherine Ellen Rice, NP
• Darian Rideout, BCBA
• Anne Ivy Riemer, PA-C
• Kayla Victoria Riendeau

• Prosthetic/Orthotic Supplier in Chelmsford, MA
• Providers in Chelmsford, MA by specialty
• Prosthetic/Orthotic Supplier in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.