Runners Revival, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RUNNERS REVIVAL, LLC

Practice address

1801 12TH Ave N
Nashville, TN 37208-1446

Phone

(231) 740-8259

NPI assigned

Aug 3, 2022

Last updated

Dec 4, 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

Killian Carlton, DPTNPI 1043820350

Title

Physical Therapist

Phone

(231) 740-8259

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Killian Carlton

  • Physical Therapist
  • Nashville, TN
  • NPI 1043820350
  NPD Authorized official

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1467189076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 DUGGER DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372061272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 12TH AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372081446",
            "telephone_number": "231-740-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUNNERS REVIVAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "CARLTON",
        "authorized_official_first_name": "KILLIAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "231-740-8259",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Rumohr
• Kimberlie Anne Rumsey, RD
• Michael Allan Runcie, LMFT
• Jamie Caroline Runions, R.N.
• Catherine Faith Runnels
• Virginia A Runyan, LPC MHSP
• Karen Michelle Runyon-Delice, FNP-BC
• Arthur Runyon-Hass, M.D.
• Jordan D Rupp, MD
• Rachel Ruppert

• Physical Therapy Clinic/Center in Nashville, TN
• Providers in Nashville, TN by specialty
• Physical Therapy Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.