Rhalph L Revestir, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA49004 Issued in CA

Practice address

2315 Stockton Blvd
Sacramento, CA 95817-2201

Phone

(916) 734-7041

NPI assigned

Apr 16, 2020

Last updated

Apr 16, 2020By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1790305001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 MARLAW WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957571654",
            "telephone_number": "408-406-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 STOCKTON BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172201",
            "telephone_number": "916-734-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVESTIR",
        "first_name": "RHALPH",
        "middle_name": "L",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA49004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Results Physical Therapy and Training Center Inc. (Results)
• Nanei Chhith Ret
• Janet Leah Retke, P.T.
• Tesla Retzlaff
• Carolyn Reuben, L.AC.
• Revesz Family Medicine
• Thomas I Revesz, MD
• Deserea B Reville, BSW
• Shayla Revoreda
• Rexcare LLC

• Physical Therapy Assistant in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.