Revelle Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

REVELLE PHYSICAL THERAPY

Doing business as

Revelle Physical Therapy

Practice address

5502 Peachtree Rd Ste 100
Chamblee, GA 30341-2310

Phone

(770) 800-2377

NPI assigned

Sep 22, 2020

Last updated

Sep 10, 2022By 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

Amy Meehan, PT, DPT, MTCNPI 1588059380

Title

Physical Therapy, Owner

Phone

(478) 954-9311

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Revelle Physical Therapy Doing business as

Electronic endpoints 1

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.

• Amy Meehan, PT, DPT, MTC

  • Physical Therapist
  • Suwanee, GA
  • NPI 1588059380
  NPD Authorized official

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662768000000",
    "number": "1730795980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 PEACHTREE RD STE 100",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412314",
            "telephone_number": "478-954-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 PEACHTREE RD STE 100",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412310",
            "telephone_number": "770-800-2377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4805 Meadow Park Ln",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300247325",
            "country_code": "US",
            "telephone_number": "478-954-9311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REVELLE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2022-09-10",
        "certification_date": "2022-09-10",
        "status": "A",
        "authorized_official_last_name": "MEEHAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PHYSICAL THERAPY, OWNER",
        "authorized_official_telephone_number": "478-954-9311",
        "authorized_official_credential": "PT, DPT, MTC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255745592",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225661184",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1588059380",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1568611986",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1053651026",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477007342",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730598863",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@therevelle.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5502 Peachtree Rd Ste 100",
            "city": "Chamblee",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303412310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Revelle Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Revelle Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denique Reid
• Ryan Lee Reid, PT
• Respiratory Services Inc.
• Restore Behaviroal Health
• Resurgens, LLC (nMotion)
• Tampa Letitia Rhodes, DMD
• Right Smile Center
• Whitney Kathryn Rivkin, PA-C
• Randal K Rowan, DDS
• Heidi Cope Roy, LCSW

• Physical Therapy Clinic/Center in Chamblee, GA
• Providers in Chamblee, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2022; 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.