NPIMap

Organization Active NPI

Revolutions Physical Therapy

  • Physical Therapy Clinic/Center
  • Billerica, MA
National Provider Identifier
1487032892
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
19380 Issued in MA
Legal business name
REVOLUTIONS PHYSICAL THERAPY
Practice address
158 Concord Rd
Apt H23
Billerica, MA 01821-4609
Phone
(978) 505-7219
NPI assigned
May 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Authorized official

Name
Sheila SpitzakNPI 1306178314
Title
Physical Therapist
Phone
(978) 393-1655

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
Physical Therapy Clinic/Center 261QP2000X 19380 MA Primary

Addresses

Primary practice location

158 Concord Rd
Apt H23
Billerica, MA 01821-4609

Mailing address

30 Sudbury Rd Ste 2
Acton, MA 01720-5954
Phone (978) 393-1655

Other identifiers 1

IdentifierTypeStateIssuer
110099789AMedicaidMA

National Provider Directory

National Provider Directory

Locations

30 Sudbury Rd
Ste 2
Acton, MA 01720
Phone (978) 393-1655

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": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1487032892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SUDBURY RD STE 2",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205954",
            "telephone_number": "978-393-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 CONCORD RD",
            "address_2": "APT H23",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018214609",
            "telephone_number": "978-505-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTIONS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "SPITZAK",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "978-393-1655"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "19380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110099789A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billerica, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.