Callie Marie Revilla, M.S. SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5779 Issued in TN

Practice address

855 W College St Ste F
Murfreesboro, TN 37129-2762

Phone

(615) 614-8833

Fax

(502) 805-1511

NPI assigned

May 24, 2021

Last updated

Jan 10, 2025By the provider in NPPES

Sex

Female

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

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jones Therapy Services LLC

  dba Associates in Pediatric Therapy

  • Pediatric Rehabilitation Medicine Physician
  • Murfreesboro, TN
  • NPI 1811213556

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1811562697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1994 GALLATIN PIKE N",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152026",
            "telephone_number": "615-596-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 W COLLEGE ST STE F",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292762",
            "telephone_number": "615-614-8833",
            "fax_number": "502-805-1511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1994 Gallatin Pike N",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "TN",
            "postal_code": "371152026",
            "country_code": "US",
            "telephone_number": "615-596-1830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REVILLA",
        "first_name": "CALLIE",
        "middle_name": "MARIE",
        "credential": "M.S. SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "5779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Results-Ast JV, LLC
• Results-Ast JV, LLC
• Results-Ast JV, LLC (Results Physiotherapy Together With Ascension Saint Thomas)
• Results-Ast JV, LLC
• Nicholas David Reszka, PHARMD
• Blake Revlett
• Lisa D Revlett, MS, CCC-SLP
• Revolution Wellness Inc. (Revolution Chiropractic Murfreesboro)
• Jeffery David Reynolds, PTA
• Lori Reynolds

• Speech-Language Pathologist in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Speech-Language Pathologist in Tennessee

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