Revamp Rehab, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

REVAMP REHAB, LLC

Practice address

2131 SW 22ND PL Ste 100
Ocala, FL 34471-7759

Phone

(352) 620-5211

NPI assigned

Aug 28, 2023

Last updated

Apr 13, 2024By 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

Dr. Ekene Ajufo, M.DNPI 1962853556

Title

Owner

Phone

(352) 620-5211

Specialties & licenses 3

Addresses

Practitioners 3

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.

• Ekene E Ajufo, M.D.

  • Pediatrics Physician
  • Hermiston, OR
  • NPI 1962853556
  NPD Authorized official
• Melissa Yvonne Ruiz

  • Community/Behavioral Health Agency
  • Ocala, FL
  • NPI 1407602105
  NPD
• Sylvester C Ajufo, MD

  • Pediatrics Physician
  • Ocala, FL
  • NPI 1699792408
  NPD (past)

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712966400000",
    "number": "1275318495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 W 23RD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 SW 22ND PL STE 100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717759",
            "telephone_number": "352-620-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVAMP REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2024-04-13",
        "certification_date": "2024-04-13",
        "status": "A",
        "authorized_official_last_name": "AJUFO",
        "authorized_official_first_name": "EKENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-620-5211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas L Ressler, HAS BC-HIS
• Restorative Rheumatology Corp
• Alexander Restrepo, DO
• Resurface Recovery Centers, Inc.
• Jennifer Lee Retikis, FNP-BC
• Clifford Aaron Revels
• Jessica Marie Reyes Giusti, MD
• Ramses De Jesus Reyes Gonzalez
• Yeraliz Yumet Reyes Melecio
• Sonia Elena Reyes Montelon, ARNP

• Behavior Analyst in Ocala, FL
• Providers in Ocala, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.