NPIMap

Organization Active NPI

Rev Physical Therapy and Performance

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1639988413
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REV PHYSICAL THERAPY AND PERFORMANCE
Practice address
1321 Wellesley Ave Apt 5
Los Angeles, CA 90025-2078
Phone
(213) 500-5099
NPI assigned
Jan 6, 2025
Last updated
May 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2025

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

Authorized official

Name
Mr. Eric Hwang, PT, DPT, ATCNPI 1912349341
Title
Owner
Phone
(213) 500-5099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1321 Wellesley Ave Apt 5
Los Angeles, CA 90025-2078

Mailing address

1321 Wellesley Ave Apt 5
Los Angeles, CA 90025-2078

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748217600000",
    "number": "1639988413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 WELLESLEY AVE APT 5",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 WELLESLEY AVE APT 5",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252078",
            "telephone_number": "213-500-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REV PHYSICAL THERAPY AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A",
        "authorized_official_last_name": "HWANG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-500-5099",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, DPT, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; 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.