Revolution Physical Therapy Nyc PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

029251 Issued in NY

Legal business name

REVOLUTION PHYSICAL THERAPY NYC PLLC

Practice address

165 Broadway FL 23
New York, NY 10006-1404

Phone

(917) 922-2682

NPI assigned

Jan 29, 2018

Organization subpart

No

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

Authorized official

Name

Loraine Antoine, PT, DPTNPI 1831212786

Title

Member

Phone

(917) 363-6433

Specialties & licenses 2

Addresses

Practitioners 1

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

• Loraine Annmarie Antoine, PT, DPT, PHD

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1831212786
  NPD Authorized official

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1821596586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 MYRTLE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112066654",
            "telephone_number": "917-922-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 BROADWAY FL 23",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061404",
            "telephone_number": "917-922-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTION PHYSICAL THERAPY NYC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "ANTOINE",
        "authorized_official_first_name": "LORAINE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-363-6433",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029251",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016510",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Estela Reveles
• Shaquiana Grace Revels
• Christopher Michael Reverte, MD
• Revibe Health Systems
• Alejandro Revilla Montag, MD
• Revolution Physical Therapy PLLC
• Revolve Physical Therapy PLLC
• Inna Revutsky
• Rewind Time Fitness LLC
• Eva Rex Vogel, LCSW, MSW

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.