Active NPI
Cherry Dell Revilla Evidente, PT
- Physical Therapist
- Allentown, PA
National Provider Identifier
1841526928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 018261
- Practice address
- 1925 W Turner St
Allentown, PA 18104-5513 - Phone
- (610) 794-5312
- NPI assigned
- Oct 26, 2009
- Last updated
- Apr 7, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 028088 | NY | |
| Physical Therapist | 225100000X | 018261 | PA | Primary |
Addresses
Primary practice location
1925 W Turner St
Allentown, PA 18104-5513
Mailing address
1925 W Turner St
Allentown, PA 18104-5513
Phone (610) 794-5260
Other names 1
- Ms. Cherry Dell Derecho Revilla
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028088 | NY | MD | Pharmacist |
| 018261 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GHG Home Health, LLC | Past | Accepting new patients | |
| Global Healthcare Group, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- Harrisburg, PA
- NPI 1023458759
-
- Home Health Agency
- Harrisburg, PA
- NPI 1063408045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1841526928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 W TURNER ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181045513",
"telephone_number": "610-794-5260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 W TURNER ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181045513",
"telephone_number": "610-794-5312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVIDENTE",
"first_name": "CHERRY DELL",
"middle_name": "REVILLA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-26",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "028088",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "018261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHERRY DELL",
"last_name": "REVILLA",
"middle_name": "DERECHO",
"prefix": "MS.",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.