Charo Revita

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

601 Cleveland St Ste 525
Clearwater, FL 33755-4179

Phone

(800) 211-0920

NPI assigned

Jan 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Legacy Healthcare Services, Inc

  • Physical Therapist
  • Tampa, FL
  • NPI 1336535988
  Medicare reassignment NPD
• QRM Plus Florida LLC

  dba Element Health Services

  • Physical Therapist
  • Clearwater, FL
  • NPI 1851061394
  Medicare reassignment NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1598426983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CLEVELAND ST STE 525",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337554179",
            "telephone_number": "800-211-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CLEVELAND ST STE 525",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337554179",
            "telephone_number": "800-211-0920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37411 Eiland Blvd",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335421800",
            "country_code": "US",
            "telephone_number": "813-783-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REVITA",
        "first_name": "CHARO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joell Ressler, OTR/L, C-SLT
• Resto Enterprise LLC.
• Restored Physical Therapy LLC
• Retina Physicians and Surgeons of Tampa Bay, LLC
• Brett R Reuter, PT
• Revsuite Solutions LLC
• Melissa Rey, CRNA
• Rachel Rey, DC
• Luis E Reyes Serrano
• Consuelo Reyes-Matranga, ARNP

• Physical Therapist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.