Revolution Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

REVOLUTION PHYSICAL THERAPY

Practice address

2705 Dougherty Ferry Rd
Ste. 104
Saint Louis, MO 63122-3371

Phone

(314) 394-3319

NPI assigned

Mar 10, 2016

Organization subpart

No

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

Authorized official

Name

Aaron McBride

Title

Owner/Managing Partner

Phone

(314) 394-3319

Specialties & licenses 1

Addresses

Other names 1

• ApexNetwork Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1801257464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 APEX DR",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 DOUGHERTY FERRY RD",
            "address_2": "STE. 104",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223371",
            "telephone_number": "314-394-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTION PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER/MANAGING PARTNER",
        "authorized_official_telephone_number": "314-394-3319"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ApexNetwork Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Revitalize Home Healthcare, LLC
• Revival Spine Surgery LLC
• Revive Counseling LLC
• Revive Healthcare Solutions LLC
• Revive Home Health Care LLC
• Revolution Transportation LLC
• Daniel A Rey, M.D.
• Nicolas Reyes
• Ryan Michael Reyes, MD PHD
• Christopher Reynhout, PHARM.D.

• Physical Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.