Revolution Wellness and Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

REVOLUTION WELLNESS AND PHYSICAL THERAPY LLC

Practice address

402 N Hickory Ave
Bel Air, MD 21014-3267

Phone

(717) 873-9480

Fax

(717) 219-2552

NPI assigned

Mar 3, 2025

Organization subpart

No

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

Authorized official

Name

Jesse Williams, DPT

Title

Owner

Phone

(717) 873-9480

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesse Corine North, PT, DPT

  • Physical Therapist
  • Sparks Glencoe, MD
  • NPI 1720752801
  NPD

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1700683265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 FLINTVILLE RD",
            "city": "DELTA",
            "state": "PA",
            "postal_code": "173148541",
            "telephone_number": "717-873-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N HICKORY AVE",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143267",
            "telephone_number": "717-873-9480",
            "fax_number": "717-219-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTION WELLNESS AND PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-873-9480",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arilene Reis de Morais
• Relecare Health Services
• Barbara Rene-Darbouze, MSW, LGSW
• Renewal Counseling Center, Inc
• Deborah Jeanne Renton, PA-C
• Daniel Reynolds, DO
• Gary Reznik, D.D.S.
• Jenna Rice
• Jocelyn Hochman Rich
• Richard a. de Santis, PH.D., M.D., P.C.

• Physical Therapist in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.