Revolution Physical Therapy & Wellness

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

REVOLUTION PHYSICAL THERAPY & WELLNESS

Practice address

1531 Eagle GLN
San Antonio, TX 78260-4207

Phone

(210) 862-2220

NPI assigned

Mar 17, 2021

Organization subpart

No

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

Authorized official

Name

Katherine Huseman, DPTNPI 1811449739

Title

Owner/Physical Therapist

Phone

(210) 862-2220

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 5

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

• Katherine Huseman, PT

  • Physical Therapist
  • San Antonio, TX
  • NPI 1811449739
  Medicare reassignment NPD Authorized official
• Elise Holmes, DPT

  • Physical Therapist
  • San Antonio, TX
  • NPI 1649789371
  Medicare reassignment NPD
• Alandra K Lancaster, MPT

  • Physical Therapist
  • San Antonio, TX
  • NPI 1518095207
  Medicare reassignment NPD
• Patrick Alan Miles, PT

  • Physical Therapist
  • San Antonio, TX
  • NPI 1144712019
  Medicare reassignment NPD
• Selina Marie Rodriguez Salgado

  • Physical Therapist
  • San Antonio, TX
  • NPI 1700770724
  Medicare reassignment NPD

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1760067060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 EAGLE GLN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782604207",
            "telephone_number": "210-862-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 EAGLE GLN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782604207",
            "telephone_number": "210-862-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTION PHYSICAL THERAPY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "HUSEMAN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "210-862-2220",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revise Wellness Services
• Revitalizing Minds Therapy Solutions
• Revival Performance Physical Therapy
• Revived Beauty LLC
• Revolution Mental Health Counseling, PLLC
• Revolution Wellness
• Gangadhar Revuluri, PHARMACIST
• Paul Jonathan Rex, IDMT
• Jessica Nicole Rexrode
• Leilani Rey, CCC-SLP

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.